Key result
A restricted RV-pacemaker strategy during TAVI was associated with a lower need for new permanent pacemaker implantation (11% for LV pacing vs 47% for RV pacing, p≤0.001) and shorter procedure times.
Why the study?
Standard transient pacing during TAVI uses a temporary RV pacemaker lead requiring central venous access, prompting evaluation of the safety and feasibility of a restrictive temporary RV pacemaker strategy.
Does a restricted temporary RV pacemaker strategy improve procedure time and maintain safety compared to routine RV pacemaker lead insertion in patients undergoing TAVI?
Population
672 patients who underwent TAVI
Comparison
Temporary RV pacemaker vs pacing on the wire vs no pacing
Design
Observational registry
Follow-up
30 days
Authors
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Suggests routine right ventricular pacing during TAVI may be safely minimized; leaves.
Observational (n=672)
Does a restricted temporary RV pacemaker strategy improve procedure time and maintain safety compared to routine RV pacemaker lead insertion in patients undergoing TAVI?
Absolute Event Rate: 11% vs 47%
p-value: p=≤0.001
A restricted temporary RV pacemaker strategy using left ventricular pacing on the wire is safe, feasible, and significantly reduces procedure time during TAVI.
Hokken et al. (2021) conducted an observational in Transcatheter aortic valve implantation (TAVI) (n=672). Restrictive temporary-RV-pacemaker strategy (pacing on the wire or no pacing) vs. Temporary-RV-pacemaker lead was evaluated on Need for new permanent pacemaker implantation (PPI) (p=≤0.001). A restricted RV-pacemaker strategy during TAVI was associated with a lower need for new permanent pacemaker implantation (11% for LV pacing vs 47% for RV pacing, p≤0.001) and shorter procedure times.
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