An expert consensus scientific panel provides a guide for the management of conduction disturbances after transcatheter aortic valve replacement based on the best available data and group expertise.
This expert consensus document provides a uniform strategy for managing conduction disturbances, which remain the most frequent complication following TAVR.
Despite major improvements in transcatheter aortic valve replacement (TAVR) periprocedural complications in recent years, the occurrence of conduction disturbances has not decreased over time and remains the most frequent complication of the procedure. Additionally, there has been an important lack of consensus on the management of these complications, which has indeed translated into a high degree of uncertainty regarding the most appropriate treatment of a large proportion of such patients along with major differences between centers and studies in pacemaker rates post-TAVR. There is therefore an urgent need for a uniform strategy regarding the management of conduction disturbances after TAVR. The present expert consensus scientific panel document has been formulated by a multidisciplinary group of interventional cardiologists, electrophysiologists, and cardiac surgeons as an initial attempt to provide a guide for the management of conduction disturbances after TAVR based on the best available data and group expertise.
“It's a very humble step forward in order to provide some kind of guidance [in] a field that has been really quite chaotic, I would say, in the last 10 years. Nobody knows exactly what to do, and we have to recognize that the data we had to provide some guidance was really scarce and [more is] badly needed.”
Rodés‐Cabau et al. (Thu,) conducted a review in Conduction disturbances associated with transcatheter aortic valve replacement. Management strategies for conduction disturbances was evaluated. An expert consensus scientific panel provides a guide for the management of conduction disturbances after transcatheter aortic valve replacement based on the best available data and group expertise.