None listed
Conditions
Brief summary
Transcatheter aortic valve implantation (TAVI) is a less-invasive, non-surgical approach for the treatment of severe aortic stenosis. With each successive generation of the transcatheter heart valve, combined with increasing experience of the proceduralists/heart teams, the outcomes have been more successful, and the risk of complications have been decreasing. One of the commonest complications of the TAVI procedure is the associated conduction abnormality (atrioventricular and intraventricular conduction blocks) which may require insertion of a Permanent Pacemaker (PPM). This is often performed post TAVI procedure, however certain patients undergo prophylactic insertion of PPM pre-TAVI. We will compare the follow up outcomes for each of these groups to assess differences in their heart rhythm following TAVI and associated requirement for PPM.
Interventions
Assess the change in pacing parameters of permanent pacemaker (PPM) associated with altered cardiac rhythm following TAVI performed at the Royal Adelaide Hospital between 1st January 2014 until 31st December 2019. This is a retrospective analysis of patients in the Structural Cardiology TAVI database. The intervention (TAVI) is the inclusion criteria for this database and the peri-procedural implant of a PPM is the inclusion criteria for this analysis. All data collected will be pooled for analysis to answer the hypotheses as listed. The pacing parameters over follow up of patients who had Pre-TAVI (prophylactic) PPM implantation will be compared against patients who had Post-TAVI PPM implantation.
Sponsors
Eligibility
Inclusion criteria
1) Transcatheter Aortic Valve Implantation (TAVI) performed at Royal Adelaide Hospital. 2) Permanent Pacemaker (PPM) implanted within 100 days pre-TAVI or 30 days post-TAVI.
Exclusion criteria
Nil.