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Despite the widespread adoption and favorable outcomes of TAVR, this technique presents several challenges, including conduction disturbances such as new-onset left bundle branch block (LBBB) and high-grade atrioventricular (AV) block, which may require permanent pacemaker (PPM) implantation. These complications arise from the close anatomical relationship between the aortic valve and the cardiac conduction system and are influenced by factors such as valve design, implantation depth, and individual anatomical variations. This review aims to explore the structural and physiological intricacies of the aortic valve and conduction system. Additionally, this review explores pre-procedural risk stratification, monitoring protocols, and emerging strategies to mitigate these complications and enhance procedural safety and long-term patient outcomes.<\/jats:p>","DOI":"10.31083\/rcm48122","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:31:56Z","timestamp":1777458716000},"source":"Crossref","is-referenced-by-count":0,"title":["Conduction Abnormalities After Transcatheter Aortic Valve Replacement: Comprehensive Review of Current Literature, Guidelines, and Clinical Practices"],"prefix":"10.31083","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6210-4961","authenticated-orcid":true,"given":"Kamran","family":"Namjouyan","sequence":"first","affiliation":[{"name":"Heart Institute, Geisinger Medical Center, Danville, PA 17821, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Yeckley","sequence":"additional","affiliation":[{"name":"Medicine Institute, Geisinger Medical Center, Danville, PA 17821, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9655-7476","authenticated-orcid":true,"given":"Neria","family":"Bitton","sequence":"additional","affiliation":[{"name":"Medicine Institute, Geisinger Medical Center, Danville, PA 17821, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madeleine","family":"Marcus","sequence":"additional","affiliation":[{"name":"Medicine Institute, Geisinger Medical Center, Danville, PA 17821, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4555-351X","authenticated-orcid":true,"given":"Christopher","family":"Eaton","sequence":"additional","affiliation":[{"name":"Medicine Institute, Geisinger Medical Center, Danville, PA 17821, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aravdeep","family":"Jhand","sequence":"additional","affiliation":[{"name":"Heart Institute, Geisinger Medical Center, Danville, PA 17821, USA"},{"name":"Department of Structural and Interventional Cardiology, Geisinger Medical Center, Danville, PA 17821, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Otto CM, Kumbhani DJ, Alexander KP, Calhoon JH, Desai MY, Kaul S, et al. 2017 ACC Expert Consensus Decision Pathway for Transcatheter Aortic Valve Replacement in the Management of Adults With Aortic Stenosis: A Report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents. 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