Incidence, Predictors and Prognosis of Pacemaker Implantation after Transcatheter Aortic Valve Implantation versus Surgical Aortic Valve Replacement: A Prospective Cohort Study.

Key Result

Transcatheter aortic valve implantation has a higher risk of permanent pacemaker implantation than surgical replacement, largely due to procedural and anatomical factors.

Key Points

• The study aims to compare the incidence, predictors, and outcomes of pacemaker implantation following transcatheter aortic valve implantation and surgical aortic valve replacement.
• Prospective cohort design
• Comparison of pacemaker implantation incidence after both procedures
• Evaluation of pre procedural imaging integration for risk assessment
• Transcatheter aortic valve implantation presents a higher risk of pacemaker implantation than surgical replacement
• Procedural and anatomical factors significantly contribute to this increased risk
• Improved pre procedural imaging enhances risk stratification and planning.