What question did this study set out to answer?

The aim is to address conduction disturbances associated with transcatheter aortic valve replacement (TAVR) to enhance patient safety and efficiency in care.

March 13, 2026Open Access

A Simplified Approach to Post-TAVR Conduction Disturbance Management: Bridging Efficiency and Safety in Contemporary TAVR Care

Key Result

Despite advancements in TAVR, permanent pacemaker implantation rates remain high, linked to worse long-term outcomes such as increased mortality and heart failure hospitalizations.

Key Points

The aim is to address conduction disturbances associated with transcatheter aortic valve replacement (TAVR) to enhance patient safety and efficiency in care.
Evaluation of recent advancements in TAVR techniques
Analysis of conduction disturbance rates and implications
Review of permanent pacemaker implantation outcomes
Conduction disturbances remain a significant issue post-TAVR
Permanent pacemaker implantation rates are still a concern
PPI linked to higher long-term mortality and heart failure hospitalizations

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

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.