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The degree of permanent pacemaker dependence and clinical outcomes following transcatheter aortic valve implantation: implications for procedural technique.

Iryna DykunAmir Abbas MahabadiStefanie JehnAnkur KalraToshiaki IsogaiOussama M WazniMohamad KanjAmar KrishnaswamyGrant W ReedJames J YunMatthias TotzeckR Alexander JánosiAlexander Y LindSamir R KapadiaTienush RassafRishi Puri
Published in: European heart journal open (2023)
Greater RV-stimulation rates post-TAVI correlate with increased 1-year MACE in patients with new PPM post-TAVI or in those with existing PPM but low RV-stimulation rates pre-TAVI. A shallower valve implantation depth reduces the risk of greater RV-stimulation rates post-TAVI, correlating with improved patient outcomes. These data highlight the importance of a meticulous implant technique even in TAVI recipients with pre-existing PPMs.
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