Cusp overlapping in TAVR reduces rate of permanent pacemaker implantation

A novel cusp-overlapping projection (COP) technique was shown to significantly reduce the rate of permanent pacemaker implantation (PPMI) in self-expanding (SE) transcatheter heart valve (THV) implantation versus the classical implantation technique, states a recent study. Also, both the techniques were found to have similar rates of complications.

"The findings imply that the COP implantation technique is a safe and feasible modification to the transcatheter aortic valve replacement (TAVR) protocol, " Isaac Pascual, Research Institute of the Principado de Asturias, Oviedo, Spain, and colleagues wrote in their study published in the journal JACC: Cardiovascular Interventions. "This is the first study to systematically evaluate this approach for SE THVs in different populations."

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Use Of Cusp-Overlapping Projection In TAVR Reduces Rate Of Permanent Pacemaker Implantation: JACC