Valvular & structural heart disease

Predictors and 5-Year Clinical Outcomes of Pacemaker After Transcatheter Aortic Valve Replacement (TAVR): Analysis From the PARTNER 2 SAPIEN 3 Registries

JACC Cardiovasc IntervPublished Secondary analysis of the PARTNER 2 S3 registries

Authors' conclusion

PPM was required in 12.5% of patients without prior PPM who underwent TAVR with a SAPIEN 3 valve in the PARTNER 2 S3 registries and was not associated with worse clinical outcomes, including mortality, at 5 years.

Study context

Population
Intermediate and high surgical risk patients without prior permanent pacemaker (PPM) undergoing TAVR with the SAPIEN 3 transcatheter heart valve (THV)
Participants
857 participants
Comparison
New PPM vs no new PPM after TAVR
  • New PPMn = 107
Primary endpoint
New PPM within 30 days after TAVR
Follow-up
30 days

Primary result

As reported in the abstract

New PPM

12.5%

107

Further findings

OutcomeAdj HR (95% CI)P value
All-cause mortality · 5 years (median follow-up 1,682.0 days [min 2.0, max 2,283.0])1.20 (0.85–1.70)P = 0.30
Repeat hospitalization · 5 years1.22 (0.67–2.21)P = 0.52
OutcomeNew PPMNo new PPMP value
LVEF (decline at 1 year persisting) · 5 years55.1 ± 2.5560.4 ± 0.65P = 0.02

Original publication

Predictors and 5-Year Clinical Outcomes of Pacemaker After TAVR: Analysis From the PARTNER 2 SAPIEN 3 Registries. JACC Cardiovasc Interv. Published 10 June 2024. doi:10.1016/j.jcin.2024.03.034

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