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Highlights the ongoing clinical challenge of conduction disturbances and the need for permanent pacemaker implantation following TAVR.
Transcatheter aortic valve replacement (TAVR) has undergone remarkable refinement over the past decade, yet conduction disturbances (CDs) remain one of its most persistent and clinically consequential complications. Despite improvements in imaging-based preprocedural planning, implantation techniques, and device design, only a minority of contemporary series report permanent pacemaker implantation (PPI) rates in the single digits.1,2 This is not trivial, as PPI has been consistently associated with worse long-term outcomes, including higher mortality and heart failure hospitalizations.
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Nuche et al. (2026) studied this question.
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