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Updated: May 13, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

Conduction disorders in the setting of transcatheter aortic valve implantation: a clinical perspective

Chiara Fraccaro1, Massimo Napodano, Giuseppe Tarantini

  • 1Division of Cardiology, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padova, Italy. chiara_fraccaro@hotmail.com

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|March 5, 2013
PubMed

Insights

Transcatheter aortic valve implantation (TAVI) can cause conduction disorders (CDs) and require permanent pacemakers (PPMs). Pre-existing CDs and CoreValve use predict PPM need after TAVI.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Electrophysiology

Background:

  • Conduction disorders (CDs) and permanent pacemaker (PPM) implantation are common after transcatheter aortic valve implantation (TAVI).
  • Limited data exists on the prognostic and therapeutic impact of these post-TAVI complications.
  • CD occurrence post-TAVI is linked to procedural conduction system trauma.

Purpose of the Study:

  • To analyze current data on conduction disorders and PPM implantation following TAVI.
  • To identify predictors for PPM implantation after TAVI.
  • To propose clinical strategies for preventing and managing these complications.

Main Methods:

  • Review and analysis of existing literature on TAVI-related conduction disorders and PPM implantation.
  • Identification of key procedural and patient-related factors associated with PPM need.
  • Synthesis of clinical data to formulate practical management guidelines.

Main Results:

  • Predictors for PPM implantation post-TAVI include the use of CoreValve prosthesis and pre-existing CDs.
  • Procedural trauma is a likely cause of new-onset CDs after TAVI.
  • Effective pre-TAVI screening, precise valve deployment, and diligent post-TAVI monitoring are crucial.

Conclusions:

  • Careful patient selection and procedural execution can minimize the need for PPM after TAVI.
  • Understanding predictors aids in risk stratification and management planning.
  • Further research is needed to fully elucidate the long-term implications of TAVI-induced CDs.

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