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, RA) est croissante et cette technique expose 15 à 20% des patients à des troubles de la conduction (TDC) nécessitant un Stimulateur Cardiaque (PM), RESUME La place du Remplacement valvulaire aortique percutané (TAVI) dans le traitement du rétrécissement aortique
dans deux centres marseillais, étaient inclus. Le statut SD était défini lors d'une consultation du PM : 1-soit par l'absence de rythme sous-jacent (RSJ) > 30 bpm, 2-soit si le RSJ était du bloc atrio-ventriculaire (BAV) de haut degré, Tous les TAVI avec implantation de PM définitif, vol.3, 2009. ,
, 86%) patients ont eu un PM dans les suites et 150 (72,11%), RESULTAT : Sur 1399 TAVI, vol.14, 0208.
, 23% BAV de haut degré persistant, 32% bloc de branche gauche (BBG) de novo +/-PR long. A 22 mois, 51% des patients étaient SD, 21% n'avaient pas de RSJ. L'indication du PM chez les SD était : BAV réversible 48%, BAV persistant 36%, BBG de novo 13%, L'indication du PM était : 38% BAV de haut degré réversible
, chez les BAV persistants (58% sans RSJ), 64% chez les BAV réversibles (43% sans RSJ, p.22
, La morbidité comme la mortalité globale (p=0,88) n'était pas différente entre les deux groupes. CONCLUSION : A 22 mois d'un TAVI, la moitié des patients sont SD et seuls 1/5 n'ont pas de RSJ. Le ratio de patient SD dépend de l
Remplacement valvulaire aortique percutané, TAVI, Pacemaker, Stimulodépendance, Troubles de la conduction, Bloc atrio-ventriculaire, Bloc de branche gauche de novo ,