Structural HeartPub Date : 2026-06-01Epub Date: 2026-03-11DOI: 10.1016/j.shj.2026.100834
Gulia Faizi MD, Edris Faiz MD, Fatima Sayid Ali MD, Lene Hüche Nielsen MD, PhD, Henrik Nissen MD, PhD
{"title":"Prospective Evaluation of a Simplified Discharge and Temporary Pacing Algorithm After Transcatheter Aortic Valve Replacement","authors":"Gulia Faizi MD, Edris Faiz MD, Fatima Sayid Ali MD, Lene Hüche Nielsen MD, PhD, Henrik Nissen MD, PhD","doi":"10.1016/j.shj.2026.100834","DOIUrl":"10.1016/j.shj.2026.100834","url":null,"abstract":"<div><h3>Background</h3><div>The increasing patient volume undergoing transcatheter aortic valve replacement (TAVR) necessitates procedural simplification and short admissions without compromising safety. The objective of this study was to prospectively evaluate a novel electrocardiogram (ECG)-based algorithm for discharge and the use of temporary pacemakers (TPMs) in pacemaker-naïve TAVR patients.</div></div><div><h3>Methods</h3><div>Patients were stratified into next-day discharge, second-day discharge, or third-day discharge groups based on preprocedural right bundle branch block and immediate postprocedural ECG changes. Prophylactic TPMs were restricted to patients with pre-existing right bundle branch block or a PQ interval >250 ms.</div></div><div><h3>Results</h3><div>Among 664 patients, the mean age was 80.8 ± 5.7 years, 46.0% were females, and 69.8% were discharged as planned or earlier. Self-expandable valves and balloon-expandable valves were used in 28.0 and 72.0%, respectively. The shorter the planned observation, the larger the fraction of discharge delays caused by nonconduction issues (next-day discharge 68.9%, second-day discharge 43.6%, and third-day discharge 10.2%, respectively, <em>p</em> < 0.001). A permanent pacemaker (PPM) was implanted in 11.5%. Although consensus criteria suggested TPMs in 39.2% of cases, the algorithm reduced this to 4.5% without compromising safety. The 30-day readmission rate for PPMs was 2.0%, and no out-of-hospital deaths were related to rhythm disturbances.</div></div><div><h3>Conclusions</h3><div>A discharge algorithm based on preprocedure and immediate postprocedure ECG in PPM-naïve patients undergoing TAVR, including a high threshold for TPM insertion, enables postimplant discharge planning in most cases and significantly reduces the use of TPMs without compromising safety during hospitalization or after discharge.</div></div>","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"10 6","pages":"Article 100834"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Structural HeartPub Date : 2026-06-01Epub Date: 2026-06-24DOI: 10.1016/j.shj.2026.100932
Benjamin M. Easow, Lydia George, Darius Aliabadi
{"title":"82936 | Distinct Early Procedural Safety Phenotype in Women Undergoing Contemporary Left Atrial Appendage Occlusion: Higher Pericardial and Bleeding Complications Without Excess Stroke","authors":"Benjamin M. Easow, Lydia George, Darius Aliabadi","doi":"10.1016/j.shj.2026.100932","DOIUrl":"10.1016/j.shj.2026.100932","url":null,"abstract":"","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"10 6","pages":"Article 100932"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Structural HeartPub Date : 2026-06-01Epub Date: 2026-06-24DOI: 10.1016/j.shj.2026.100872
Georgios Papadopoulos, Ilias Ninios, Sotirios Evangelou, Andreas Ioannides, Vlasis Ninios
{"title":"82145 | Impact of True ID and Valve Fracture on Gradients After Valve-in-Valve TAVI With Myval","authors":"Georgios Papadopoulos, Ilias Ninios, Sotirios Evangelou, Andreas Ioannides, Vlasis Ninios","doi":"10.1016/j.shj.2026.100872","DOIUrl":"10.1016/j.shj.2026.100872","url":null,"abstract":"","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"10 6","pages":"Article 100872"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Structural HeartPub Date : 2026-06-01Epub Date: 2026-06-24DOI: 10.1016/j.shj.2026.100937
Thomas Waggoner, Christophe Dubois, Wen-Loong Yeow, Anthony Camuglia, Tony Walton, Zenon Huczek, Lionel Leroux, Axel Linke, Niklas Schofer, Didier Tchetche, David Hildick-Smith, Yoan Lavie-Badie, Michael Joner, Wolfgang Rottbauer
{"title":"82972 | Left Ventricular Reverse Remodeling Following Transcatheter Mitral Valve Replacement with the HighLife System: One-Year Analysis","authors":"Thomas Waggoner, Christophe Dubois, Wen-Loong Yeow, Anthony Camuglia, Tony Walton, Zenon Huczek, Lionel Leroux, Axel Linke, Niklas Schofer, Didier Tchetche, David Hildick-Smith, Yoan Lavie-Badie, Michael Joner, Wolfgang Rottbauer","doi":"10.1016/j.shj.2026.100937","DOIUrl":"10.1016/j.shj.2026.100937","url":null,"abstract":"","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"10 6","pages":"Article 100937"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}