avoiding pacemakers and parallax外文参考.pdf

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY VOL. 74, NO. 21, 2019
ª 2019 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION
PUBLISHED BY ELSEVIER
EDITORIAL COMMENT
Avoiding Pacemakers and Parallax*
Vinay Badhwar, MD,a Sudarshan Balla, MD,b Lawrence M. Wei, MDa
he management of aortic valve and mitral Central to the interpretation of PPM rates in this
T valve (MV) disease is rapidly evolving to study is the inclusion of concomitant tricuspid valve
include the expanding role of transcatheter (TV) surgery and surgical ablation (7). Both TV sur-
therapy for various pathologies and risk levels (1–3). gery and surgical ablation are known to carry an
To help refine clinical decision making, a flurry of inherent risk of need for PPM (11–14). Even with
recent activity to interpret or re-define outcomes contemporary techniques, TV operations indepen-
following surgical and transcatheter therapy has dently carry a need for PPM risk of nearly 17% (11).
been set into motion by compelling evidence favoring Surgical ablation of persistent atrial fibrillation, even
transcatheter aortic valve replacement (TAVR) in low- if performed in perfect alignment with