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经导管主动脉瓣植入术后传导障碍的管理:迈向早期出院的最后一步。

Management of conduction disturbances after TAVI: the last step towards early discharge.

作者信息

Muntané-Carol Guillem, Romaguera Rafael, Gómez-Hospital Joan Antoni, Nuche Jorge, Philippon François, Rodés-Cabau Josep

机构信息

Cardiology Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.

Bio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.

出版信息

J Geriatr Cardiol. 2025 May 28;22(5):534-546. doi: 10.26599/1671-5411.2025.05.004.

Abstract

The incidence of new-onset cardiac conduction disturbances following transcatheter aortic valve implantation (TAVI) has not decreased compared to other complications, and nowadays is by far the most frequent drawback following the procedure. Meanwhile, the global management of TAVI recipients has led to a minimalist approach with short postprocedural length of stay, which may be limited by the occurrence of late arrhythmic events in patients at high-risk. This review focuses on those strategies to overcome the conundrum between early discharge and new-onset conduction disturbances in elderly TAVI candidates and provides a perspective on future improvements in this field.

摘要

与其他并发症相比,经导管主动脉瓣植入术(TAVI)后新发心脏传导障碍的发生率并未降低,目前这是该手术后最常见的问题。与此同时,对TAVI接受者的全球管理导致了一种极简主义方法,即术后住院时间缩短,但这可能会受到高危患者晚期心律失常事件发生的限制。本综述重点关注在老年TAVI候选者中克服早期出院与新发传导障碍之间难题的策略,并对该领域未来的改进提供了一个观点。

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