Conclusion of Permanent Pacemaker Implantation After TAVR – Predictors And Impact On Outcomes

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Summary

Conclusion

Despite being less invasive than open SAVR, TAVR remains associated with potential procedure-related complications. New LBBB and the need for PPM implantation are the most frequent adverse events after TAVR. The incidence of significant conduction disturbances is dependent on the TAVR prosthesis used and has decreased as a result of improved implantation techniques. In addition, next-generation devices with reduced interaction with the LVOT might further decrease conduction disturbances after TAVR. Minimising PPM rate is important, especially as TAVR technology could be increasingly applied to younger and healthier patients.

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