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Paravalvular leak versus need for permanent pacemaker after TAVR: Sailing between S cylla and C harybdis
Author(s) -
Cilingiroglu Mehmet,
Marmagkiolis Konstantinos
Publication year - 2017
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27171
Subject(s) - medicine , permanent pacemaker , cardiology , surgery
Key Points Absence or minimization of PVL after TAVR and its potential association with higher rates of PPM placement has been the Achilles’ heel of TAVR procedures. Pre‐existing RBBB and depth of implantation are independent predictors of PPM need after Lotus valve implantation. Optimization of device design, increased operator experience, and focus on accurate device placement seem to result in decreased need for PPM after Lotus valve implantation.