Valvular & structural heart diseaseCohort study
Same-Day Permanent Pacemaker Implantation Following Transcatheter Aortic Valve Replacement
- Prospective multicentre cohort study
- consecutive patients
- prospectively collected data
Authors' conclusion
In patients developing procedural persistent CHB/HAVB during TAVR, SDP was safe and associated with a shorter hospitalization length and a very high pacing burden at 30 days.
Study context
- Population
- Patients without prior pacemaker developing procedural persistent complete or high-degree AV block during transcatheter aortic valve replacement (TAVR)
- Participants
- 584 patients
- Exposure
- Same-day permanent pacemaker implantation (PPI) vs observation for conduction recovery
- Same-day PPI (SDP)n = 157
- n-SDPn = 427reference
Main finding
As reported in the abstract
Hospitalization length
P < 0.001
Observational data: associations, not effects.
Further findings
Pacemaker dependency · 1 month
P = 0.277
| Outcome | SDP | n-SDP | P value |
|---|---|---|---|
| PPI in n-SDP · median 3 [1-4] days after TAVR | Not reported in the abstract | 88% | |
| Ventricular pacing percentage · 1 month | median 96% (IQR 22%–99%) | median 90% (IQR 10%–99%) | P = 0.203 |
Safety
Periprocedural complications, incl. pacemaker pocket hematomas
- No differences between groups
Original publication
Same-Day Permanent Pacemaker Implantation Following Transcatheter Aortic Valve Replacement. JACC Cardiovasc Interv. Published 28 July 2025. doi:10.1016/j.jcin.2025.05.041
Summarised from the published abstract; every number is checked against it