This editorial highlights that mitigating the risk of permanent pacemaker implantation after TAVR requires careful attention to both baseline patient characteristics and optimization of procedural techniques, particularly the cusp overlap view for self-expanding valves.
Pacemaker post-transcatheter aortic valve replacement is related to multifactorial risk. Nwaedozie et al brought to the body of evidence electrocardiogram and clinical findings. However, procedural characteristics have at least as much impact on the final need for a permanent pacemaker and potentially on the pacing rate. In this regard, long-term follow-up and understanding of the impact of long-term stimulation is of utmost importance.
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Noble et al. (2024) conducted an editorial in Severe aortic stenosis undergoing transcatheter aortic valve replacement (TAVR) (n=357). Permanent pacemaker implantation post-TAVR vs. No permanent pacemaker was evaluated on Heart failure hospitalization at one year (p=0.022).
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