Permanent pacemaker insertion in patients with conduction abnormalities post transcatheter aortic valve replacement: a review and proposed guidelines

Ann Transl Med. 2018 Jan;6(1):11. doi: 10.21037/atm.2017.10.21.

Abstract

Conduction abnormalities are a common and serious complication of transcatheter aortic valve replacement (TAVR) with well-established predictive factors. Current guidelines are not concrete, leaving several questions unanswered about indications, timing and risks of pacemaker implantation post-TAVR. In this review article, we discuss current guidelines, predictors of pacemaker implantation, clinical implications of this procedure and our recommendations for reducing the pacemaker implantation rate post-TAVR.

Keywords: Transcatheter aortic valve replacement (TAVR); guidelines; pacemaker.

Publication types

  • Review