{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T05:17:38Z","timestamp":1775107058868,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Predicting the need for permanent pacemaker implantation (PPM) after transcatheter aortic valve implantation (TAVI) is crucial for procedural planning and patient counseling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate whether left ventricular outflow tract (LVOT) morphology, specifically a tapered configuration, predicts conduction disturbances requiring PPM after TAVI using the Evolut self\u2010expanding valve.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective multicenter study included patients undergoing TAVI with the self\u2010expanding Evolut series. Pre\u2010TAVI MSCT analysis included LVOT shape, membranous septum (MSep) length, and landing\u2010zone calcification. Implantation depth (ID) was measured on final aortography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 189 patients were included (age, 79.2\u2009\u00b1\u20096.8 years, 46% female, EuroSCORE II, 3.1 [1.9, 5.6]). Seventeen patients (9%) required PPM at 30 days. Patients with a tapered LVOT had a threefold higher PPM rate compared with those with a non\u2010tapered configuration (21% vs. 7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015). PPM was significantly associated with tapered LVOT (OR: 4.2,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041), pre\u2010existing right bundle branch block (RBBB) (OR: 12.4,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), and deep valve implantation with a short MSep (OR: 16.4,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Tapered LVOT configuration, pre\u2010existing RBBB, and deep implantation in the context of a short MSep are independent predictors of PPM following TAVI with the Evolut TAVI platform. Integrating LVOT configuration and MSep length into preprocedural planning may improve patient selection and prediction of PPM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70474","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T08:07:16Z","timestamp":1768291636000},"page":"1285-1292","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Left Ventricular Outflow Tract Geometry as a Predictor of Permanent Pacemaker Implantation After Transcatheter Aortic Valve Implantation Using the Evolut Series"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1040-0019","authenticated-orcid":false,"given":"Mahmoud","family":"Abdelshafy","sequence":"first","affiliation":[{"name":"Department of Cardiology Al\u2010Azhar University Cairo Egypt"},{"name":"Department of Cardiology Galway University Hospitals and University of Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"McInerney","sequence":"additional","affiliation":[{"name":"Department of Cardiology Galway University Hospitals and University of Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Elmeanawy","sequence":"additional","affiliation":[{"name":"Department of Cardiology Nasr City Health Insurance Hospital Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3638-200X","authenticated-orcid":false,"given":"Paolo Alberto Del","family":"Sole","sequence":"additional","affiliation":[{"name":"Department of Cardiology Galway University Hospitals and University of Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Wagener","sequence":"additional","affiliation":[{"name":"Department of Cardiology Galway University Hospitals and University of Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hatem","family":"Helal","sequence":"additional","affiliation":[{"name":"Department of Cardiology Nasr City Health Insurance Hospital Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud","family":"Abozaid","sequence":"additional","affiliation":[{"name":"Department of Cardiology Nasr City Health Insurance Hospital Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashraf","family":"Alamir","sequence":"additional","affiliation":[{"name":"Department of Cardiology Al\u2010Azhar University Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamer","family":"Fouad","sequence":"additional","affiliation":[{"name":"Department of Cardiology Al\u2010Azhar University Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alsayed","family":"Almarghany","sequence":"additional","affiliation":[{"name":"Department of Cardiology Al\u2010Azhar University Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Briain","family":"MacNeill","sequence":"additional","affiliation":[{"name":"Department of Cardiology Galway University Hospitals and University of Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0758-3539","authenticated-orcid":false,"given":"Osama","family":"Soliman","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences Dublin Ireland"},{"name":"Precision Cardiovascular Medicine &amp; 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