ArticleFrontiers in cardiovascular medicine2025
Reduced ejection fraction as the sole potential limitation for wire pacing in transfemoral aortic valve replacement.
Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: In recent years, fast-track protocols have been developed for transcatheter aortic valve replacement/implantation (TAVR/TAVI) to further simplify the procedure. Traditionally, intraprocedural rapid ventricular pacing for valve deployment is achieved via a transvenous temporary pacing wire inserted into the right ventricle. Aim: The aim of the present study was to assess the safety and efficacy of a temporary left ventricular pacing (wire pacing) technique during the TAVI procedure. Methods: In this prospective observational study, 307 consecutive patients undergoing TAVI with either the Edwards SAPIEN S3 ( Results: Left ventricular pacing was successful in 93.8% of cases ( Conclusion: Wire pacing is safe and effective, should be preferred for TAVI, and eliminates the risk of complications associated with transvenous pacing wires. Nonetheless, caution is advised when using this technique in patients with reduced ejection fraction or a high risk of conduction disorders.
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