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Incidence of 180-day Readmission With CIED Implantation After Percutaneous and Surgical Aortic and Mitral Valve

Benjamin W Furman1, Vardhmaan Jain2, Neal K Bhatia2

  • 1Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

Journal of Cardiovascular Electrophysiology
|February 23, 2026
PubMed

Insights

Cardiac implantable electronic device (CIED) implantation is more common and occurs earlier after transcatheter aortic valve replacement (TAVR) than surgical aortic valve replacement (SAVR). Mitral valve interventions showed similar CIED implantation rates between surgical and transcatheter approaches within 180 days.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Health Services Research

Background:

  • Valvular heart disease interventions frequently necessitate cardiac implantable electronic device (CIED) implantation due to conduction disturbances.
  • Limited data exist on delayed CIED implantation, surgical comparisons, and outcomes after mitral valve interventions.

Purpose of the Study:

  • To compare the incidence and timing of CIED implantation within 180 days following surgical and transcatheter aortic and mitral valve interventions.

Main Methods:

  • Analysis of the Nationwide Readmissions Database (2016-2021).
  • Identification of patients undergoing transcatheter aortic valve replacement (TAVR), surgical AVR (SAVR), transcatheter mitral valve replacement/repair (TMVR/TEER), or surgical MVR (SMVR).
  • Evaluation of 180-day readmissions for CIED implantation using weighted analyses and Cox proportional-hazards models.

Main Results:

  • Transcatheter patients were older with higher comorbidity burden.
  • 180-day CIED implantation readmission rates were higher after TAVR vs. SAVR (2.33% vs. 0.88%; aHR 2.05), occurring earlier post-TAVR (median 10 vs. 49 days).
  • TMVR/TEER and SMVR showed similar 180-day CIED implantation rates (1.66% vs. 1.71%). Aortic interventions had early CIED clusters, while mitral interventions showed a more even distribution.

Conclusions:

  • CIED implantation readmissions occur earlier after aortic valve interventions compared to mitral valve interventions.
  • TAVR had a higher incidence of CIED implantation readmissions than SAVR, but mitral interventions had comparable rates between surgical and percutaneous approaches.
  • Findings inform rhythm monitoring strategies post-discharge following valve interventions.
Abstract

Keywords:
cardiac implantable electronic devicesurgical valvular interventiontranscatheter valvular intervention

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