Evidence map›Paper›PMID 32362220›Full record

Observational studyJournal of the American Heart Association2020

Pacemaker Implantation After Balloon- or Self-Expandable Transcatheter Aortic Valve Replacement in Patients With Aortic Stenosis.

Arnaud Bisson, Alexandre Bodin, Julien Herbert, Thibaut Lacour, Christophe Saint Etienne, Bertrand Pierre, Nicolas Clementy, Pierre Deharo, Dominique Babuty, Laurent Fauchier

Erratum issued Registry-linked trialOpen access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05889208 (Prophylactic Permanent Pacemaker in Patients With Right Bundle Branch Block Undergoing Transcatheter Aortic Valve Implantation), which is not on this map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05889208 nanot yet recruitingnot on this mapstarted 2023, after this paper: background citation

Prophylactic Permanent Pacemaker in Patients With Right Bundle Branch Block Undergoing Transcatheter Aortic Valve Implantation

TypeinterventionalSponsorAalborg University HospitalRan2023 to 2027Enrolled320ConditionsAortic Stenosis, Right Bundle-Branch BlockArmsProphylactic pacemaker implantation
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Same-Day Discharge After Transcatheter Aortic Valve Implantation: Who, When, and How?Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Management of complications after valvular interventions.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Review
  16. Recent innovations in aortic valve surgery: True progress?Turk gogus kalp damar cerrahisi dergisi · 2023
    Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Arnaud BissonService de Cardiologie Centre Hospitalier Universitaire Trousseau et Faculté de Médecine EA7505 Université de Tours France.
Alexandre BodinService de Cardiologie Centre Hospitalier Universitaire Trousseau et Faculté de Médecine EA7505 Université de Tours France.
Julien HerbertService de Cardiologie Centre Hospitalier Universitaire Trousseau et Faculté de Médecine EA7505 Université de Tours France.
Thibaut LacourService de Cardiologie Centre Hospitalier Universitaire Trousseau et Faculté de Médecine EA7505 Université de Tours France.
Christophe Saint EtienneService de Cardiologie Centre Hospitalier Universitaire Trousseau et Faculté de Médecine EA7505 Université de Tours France.
Bertrand PierreService de Cardiologie Centre Hospitalier Universitaire Trousseau et Faculté de Médecine EA7505 Université de Tours France.
Nicolas ClementyService de Cardiologie Centre Hospitalier Universitaire Trousseau et Faculté de Médecine EA7505 Université de Tours France.
Pierre DeharoDépartement de Cardiologie Centre Hospitalier Universitaire Timone Marseille France.
Dominique BabutyService de Cardiologie Centre Hospitalier Universitaire Trousseau et Faculté de Médecine EA7505 Université de Tours France.
Laurent FauchierService de Cardiologie Centre Hospitalier Universitaire Trousseau et Faculté de Médecine EA7505 Université de Tours France.
Université de Tours · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The incidence of conduction abnormalities requiring permanent pacemaker implantation (PPI) after transcatheter aortic valve replacement (TAVR) with early and later generation prostheses remains debated. Methods and Results Based on the administrative hospital-discharge database, we collected information for all patients treated with TAVR between 2010 and 2019 in France. We compared the incidence of PPI after TAVR according to the type and generation of valve implanted. A total of 49 201 patients with aortic stenosis treated with TAVR using the balloon-expandable (BE) Edwards SAPIEN valve (early Sapien XT and latest Sapien 3) or the self-expanding (SE) Medtronic CoreValve (early CoreValve and latest Evolut R) were found in the database. Mean (SD) follow-up was 1.2 (1.5 years) (median [interquartile range] 0.6 [0.1-2.0] years). PPI after the procedure was reported in 13 289 patients, among whom 11 010 (22.4%) had implantation during the first 30 days. In multivariable analysis, using early BE TAVR as reference, adjusted odds ratio (95% CI) for PPI during the first 30 days was 0.88 (0.81-0.95) for latest BE TAVR, 1.40 (1.27-1.55) for early SE TAVR, and 1.17 (1.07-1.27) for latest SE TAVR. Compared with early BE TAVR, the adjusted hazard ratio for PPI during the whole follow-up was 1.01 (0.95-1.08) for latest BE TAVR, 1.30 (1.21-1.40) for early SE TAVR, and 1.25 (1.18-1.34) for latest SE TAVR. Conclusions In patients with aortic stenosis treated with TAVR, our systematic analysis at a nationwide level found higher rates of PPI than previously reported. BE technology was independently associated with lower incidence rates of PPI both at the acute and chronic phases than SE technology. Recent generations of TAVR were not independently associated with different rates of PPI than early generations during the overall follow-up.

Indexed as

Cardiac Pacing, ArtificialHeart Valve ProsthesisPacemaker, ArtificialAgedAged, 80 and overAortic Valve StenosisArrhythmias, CardiacBalloon ValvuloplastyDatabases, FactualFemaleFranceHumansIncidenceMaleProsthesis DesignRetrospective Studiesaortic stenosispacemakertranscatheter aortic valve implantation

Identifiers

PMID32362220
PMCPMC7428568
OpenAlexW3022369643

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.