{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T20:24:51Z","timestamp":1754598291620,"version":"3.40.4"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,8,18]],"date-time":"2024-08-18T00:00:00Z","timestamp":1723939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Predictors of permanent pacemaker implantation (PPMI) after self\u2010expanding transcatheter aortic valve implant (TAVI) were described. Is unknown if PPMI predictors remain in the era of high implants using the cusp overlap (COP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Single\u2010center, prospective, consecutive case series of patients undergoing self\u2010expanding TAVI with the COP approach. The status of PPMI and other clinical events were ascertained at 30 days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 261 patients were included (84% with Evolut, <jats:italic>n<\/jats:italic>\u2009=\u2009219). Implant depth &gt;4\u2009mm was infrequent (13.8%). TAVI depth (OR 1.259; <jats:italic>p<\/jats:italic>\u2009=\u20090.005), first or second\u2010degree auriculo\u2010ventricular block (OR 3.406; <jats:italic>p<\/jats:italic>\u2009=\u20090.033), right\u2010bundle (OR 15.477; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), and incomplete left\u2010bundle branch block (OR 7.964; <jats:italic>p<\/jats:italic>\u2009=\u20090.036) were found to be independent predictors of PPMI. The risk of PPMI with deep implant and no electrical disturbances was 3%, and 0% with high implant and no prior electrical disturbances. Those who received PPMI had no statistically significant increased risk of death, myocardial infarction, stroke, bleeding events, or vascular complications at 30 days, but longer hospital stay (mean difference 1.43 days more, <jats:italic>p<\/jats:italic>\u2009=\u20090.003).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implant depth and prior conduction abnormalities remain the main predictors of PPMI using self\u2010expanding TAVI in the COP era. Patients with high implants and no prior conduction abnormalities may be candidates for early discharge after uneventful self\u2010expanding TAVI, while the rest may need inpatient monitoring regardless of achieving a high implant. The need for PPMI was associated with longer hospital stays.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.31176","type":"journal-article","created":{"date-parts":[[2024,8,18]],"date-time":"2024-08-18T09:49:27Z","timestamp":1723974567000},"page":"1071-1078","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of permanent pacemaker implantation for transcatheter self\u2010expandable aortic valve implant in the cusp overlap era"],"prefix":"10.1002","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5268-0429","authenticated-orcid":false,"given":"Oscar A.","family":"Mendiz","sequence":"first","affiliation":[{"name":"Interventional Cardiology Department, Cardiology and Cardiovascular Surgery Institute (ICCYC) Hospital Universitario Fundaci\u00f3n Favaloro Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Fava","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department, Cardiology and Cardiovascular Surgery Institute (ICCYC) Hospital Universitario Fundaci\u00f3n Favaloro Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas I.","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Fundaci\u00f3n Favaloro Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo A.","family":"Lev","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department, Cardiology and Cardiovascular Surgery Institute (ICCYC) Hospital Universitario Fundaci\u00f3n Favaloro Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaston","family":"Heredia","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department, Cardiology and Cardiovascular Surgery Institute (ICCYC) Hospital Universitario Fundaci\u00f3n Favaloro Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvina E.","family":"G\u00f3mez","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department, Cardiology and Cardiovascular Surgery Institute (ICCYC) Hospital Universitario Fundaci\u00f3n Favaloro Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joaqu\u00edn","family":"Cede\u00f1o","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department, Cardiology and Cardiovascular Surgery Institute (ICCYC) Hospital Universitario Fundaci\u00f3n Favaloro Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan M.","family":"P\u00e9rez","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department, Cardiology and Cardiovascular Surgery Institute (ICCYC) Hospital Universitario Fundaci\u00f3n Favaloro Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2008-3870","authenticated-orcid":false,"given":"Pablo","family":"Lamelas","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department, Cardiology and Cardiovascular Surgery Institute (ICCYC) Hospital Universitario Fundaci\u00f3n Favaloro Buenos Aires Argentina"},{"name":"Health Research Methods, Evidence, and Impact McMaster University Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz275"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz924"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2020.01.015"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1755-5922.12330"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.123.013094"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.10.033"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.02.038"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-22-01030"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","unstructured":"Imm\u00e8S TodaroD MannaAL.Transcatheter aortic valve implantation: Medtronic CoreValve Evolut R. 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Avoiding S3 valve over\u2010sizing by deployment balloon over\u2010filling: impact on rates of permanent pacemaker and other procedural complications during TAVR. 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