Why the study?
Does a prophylactic permanent pacemaker strategy reduce high-grade conduction complications compared to a selective strategy in adults with baseline right bundle branch block undergoing TAVR?
Systematic Review (n=641)
Does a prophylactic permanent pacemaker strategy reduce high-grade conduction complications compared to a selective strategy in adults with baseline right bundle branch block undergoing TAVR?
In TAVR patients with baseline RBBB, prophylactic pacing prevents high-grade conduction collapse and emergent pacing needs at the cost of increased overall pacemaker implantation.
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Cryer et al. (2026) conducted a systematic review in Baseline right bundle branch block (RBBB) undergoing TAVR (n=641). Prophylactic pacing strategy vs. Selective pacing strategy was evaluated on Overall permanent pacemaker (PPM) implantation (RR 1.54, 95% CI 1.15-2.07).
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