Predictors of permanent pacemaker insertion following transcatheter aortic valve replacement with the corevalve revalving system based on computed tomography analysis: An asian multicenter registry study

Won Jang Kim, Young Guk Ko, Seungbong Han, Young Hak Kim, Timothy C. Dy, Fabio Enrique B. Posas, Michael Kang Yin Lee, Hyo Soo Kim, Myeongki Hong, Yangsoo Jang, Eberhard Grube, Seung Jung Park

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background. To determine predictive variables for permanent pacemaker (PPM) insertion after transcatheter aortic valve replacement (TAVR) with the CoreValve Revalving System (CRS). Methods and Results. A total of 121 patients with severe aortic stenosis (AS) were recruited from six Asian medical centers between March 2010 and May 2013. Four patients with preexisting PPM were excluded. The mean age of the remaining 117 patients was 81.2 ± 5.1 years. Twenty-three patients (19.7%) required post-TAVR PPM, with a median time-to-insertion of 7 days (interquartile range, 5-13 days). Two variables were identified as independent predictors of PPM: (1) device depth from the non-coronary cusp (NCC) (odds ratio [OR], 1.263; P=.02) determined by aortic root angiography; and (2) the perimeter stretching index (OR, 1.584; P<.001) determined by computed tomography. The predictive cut-off values were as follows: a perimeter stretching index >1.13 (P<.001) and a device depth from the NCC >7.8 mm (P<.001). The diagnostic accuracy of these variables was 93.2% and 71%, respectively. Conclusion. Depth of the device from the NCC and the perimeter stretching index are independent predictors of PPM insertion after CRS-TAVR.

Original languageEnglish
Pages (from-to)334-340
Number of pages7
JournalJournal of Invasive Cardiology
Volume27
Issue number7
Publication statusPublished - 2015 Jan 1

Fingerprint

Multicenter Studies
Registries
Tomography
Odds Ratio
Equipment and Supplies
Aortic Valve Stenosis
Angiography
Transcatheter Aortic Valve Replacement

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Kim, Won Jang ; Ko, Young Guk ; Han, Seungbong ; Kim, Young Hak ; Dy, Timothy C. ; Posas, Fabio Enrique B. ; Lee, Michael Kang Yin ; Kim, Hyo Soo ; Hong, Myeongki ; Jang, Yangsoo ; Grube, Eberhard ; Park, Seung Jung. / Predictors of permanent pacemaker insertion following transcatheter aortic valve replacement with the corevalve revalving system based on computed tomography analysis : An asian multicenter registry study. In: Journal of Invasive Cardiology. 2015 ; Vol. 27, No. 7. pp. 334-340.
@article{6d8fef36f1694c28a222a76dd3e7acca,
title = "Predictors of permanent pacemaker insertion following transcatheter aortic valve replacement with the corevalve revalving system based on computed tomography analysis: An asian multicenter registry study",
abstract = "Background. To determine predictive variables for permanent pacemaker (PPM) insertion after transcatheter aortic valve replacement (TAVR) with the CoreValve Revalving System (CRS). Methods and Results. A total of 121 patients with severe aortic stenosis (AS) were recruited from six Asian medical centers between March 2010 and May 2013. Four patients with preexisting PPM were excluded. The mean age of the remaining 117 patients was 81.2 ± 5.1 years. Twenty-three patients (19.7{\%}) required post-TAVR PPM, with a median time-to-insertion of 7 days (interquartile range, 5-13 days). Two variables were identified as independent predictors of PPM: (1) device depth from the non-coronary cusp (NCC) (odds ratio [OR], 1.263; P=.02) determined by aortic root angiography; and (2) the perimeter stretching index (OR, 1.584; P<.001) determined by computed tomography. The predictive cut-off values were as follows: a perimeter stretching index >1.13 (P<.001) and a device depth from the NCC >7.8 mm (P<.001). The diagnostic accuracy of these variables was 93.2{\%} and 71{\%}, respectively. Conclusion. Depth of the device from the NCC and the perimeter stretching index are independent predictors of PPM insertion after CRS-TAVR.",
author = "Kim, {Won Jang} and Ko, {Young Guk} and Seungbong Han and Kim, {Young Hak} and Dy, {Timothy C.} and Posas, {Fabio Enrique B.} and Lee, {Michael Kang Yin} and Kim, {Hyo Soo} and Myeongki Hong and Yangsoo Jang and Eberhard Grube and Park, {Seung Jung}",
year = "2015",
month = "1",
day = "1",
language = "English",
volume = "27",
pages = "334--340",
journal = "Journal of Invasive Cardiology",
issn = "1042-3931",
publisher = "HMP Communications",
number = "7",

}

Predictors of permanent pacemaker insertion following transcatheter aortic valve replacement with the corevalve revalving system based on computed tomography analysis : An asian multicenter registry study. / Kim, Won Jang; Ko, Young Guk; Han, Seungbong; Kim, Young Hak; Dy, Timothy C.; Posas, Fabio Enrique B.; Lee, Michael Kang Yin; Kim, Hyo Soo; Hong, Myeongki; Jang, Yangsoo; Grube, Eberhard; Park, Seung Jung.

In: Journal of Invasive Cardiology, Vol. 27, No. 7, 01.01.2015, p. 334-340.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Predictors of permanent pacemaker insertion following transcatheter aortic valve replacement with the corevalve revalving system based on computed tomography analysis

T2 - An asian multicenter registry study

AU - Kim, Won Jang

AU - Ko, Young Guk

AU - Han, Seungbong

AU - Kim, Young Hak

AU - Dy, Timothy C.

AU - Posas, Fabio Enrique B.

AU - Lee, Michael Kang Yin

AU - Kim, Hyo Soo

AU - Hong, Myeongki

AU - Jang, Yangsoo

AU - Grube, Eberhard

AU - Park, Seung Jung

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Background. To determine predictive variables for permanent pacemaker (PPM) insertion after transcatheter aortic valve replacement (TAVR) with the CoreValve Revalving System (CRS). Methods and Results. A total of 121 patients with severe aortic stenosis (AS) were recruited from six Asian medical centers between March 2010 and May 2013. Four patients with preexisting PPM were excluded. The mean age of the remaining 117 patients was 81.2 ± 5.1 years. Twenty-three patients (19.7%) required post-TAVR PPM, with a median time-to-insertion of 7 days (interquartile range, 5-13 days). Two variables were identified as independent predictors of PPM: (1) device depth from the non-coronary cusp (NCC) (odds ratio [OR], 1.263; P=.02) determined by aortic root angiography; and (2) the perimeter stretching index (OR, 1.584; P<.001) determined by computed tomography. The predictive cut-off values were as follows: a perimeter stretching index >1.13 (P<.001) and a device depth from the NCC >7.8 mm (P<.001). The diagnostic accuracy of these variables was 93.2% and 71%, respectively. Conclusion. Depth of the device from the NCC and the perimeter stretching index are independent predictors of PPM insertion after CRS-TAVR.

AB - Background. To determine predictive variables for permanent pacemaker (PPM) insertion after transcatheter aortic valve replacement (TAVR) with the CoreValve Revalving System (CRS). Methods and Results. A total of 121 patients with severe aortic stenosis (AS) were recruited from six Asian medical centers between March 2010 and May 2013. Four patients with preexisting PPM were excluded. The mean age of the remaining 117 patients was 81.2 ± 5.1 years. Twenty-three patients (19.7%) required post-TAVR PPM, with a median time-to-insertion of 7 days (interquartile range, 5-13 days). Two variables were identified as independent predictors of PPM: (1) device depth from the non-coronary cusp (NCC) (odds ratio [OR], 1.263; P=.02) determined by aortic root angiography; and (2) the perimeter stretching index (OR, 1.584; P<.001) determined by computed tomography. The predictive cut-off values were as follows: a perimeter stretching index >1.13 (P<.001) and a device depth from the NCC >7.8 mm (P<.001). The diagnostic accuracy of these variables was 93.2% and 71%, respectively. Conclusion. Depth of the device from the NCC and the perimeter stretching index are independent predictors of PPM insertion after CRS-TAVR.

UR - http://www.scopus.com/inward/record.url?scp=84947417368&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84947417368&partnerID=8YFLogxK

M3 - Article

C2 - 26136283

AN - SCOPUS:84947417368

VL - 27

SP - 334

EP - 340

JO - Journal of Invasive Cardiology

JF - Journal of Invasive Cardiology

SN - 1042-3931

IS - 7

ER -