Skip to main content
. 2021 Feb 12;6:41–55.e15. doi: 10.1016/j.xjon.2021.02.002

Table E3.

Pacemaker details in studies including < 250 patients (n = 30)

Study Indications PPI Timing of PPI, d PPI rate Dependency definition Dependency rate Dependency follow-up, months Multivariable Predictors PPI Association PPI-related complications
Sinhal et alE1 na 2 5.6% na 86% 6 na na na
Jilaihawi et alE2 90% AVB
10% SSS
na 33.3% Description by case of the % ventricular pacing at follow-up 66.6% 1
  • LBBB with left axis deviation

  • Diastolic interventricular septa dimension >17 mm

  • Noncoronary cuspid thickness >8 mm

na na
Baan et alE3 100% AVB 3 26.9% “ventricular pacing” reported 100% 1 na
  • Smaller left ventricle outflow tract diameter

  • More left-sided heart axis

  • More mitral annular calcification

  • Smaller postimplantation indexed effective orifice area

na
Fraccaro et alE4 96% AVB
4% SSS
na 39% With pacemaker to VVI at the lowest rate possible: continuous pacing or complete AVB or AF with inadequate ventricular response 23.5% 12
  • Depth of the prosthesis implantation

  • Pre-existing RBBB

na na
Van der boon et alE5 83.3% AVB
13.8% bradycardia
2.7% others
8 21.6% By temporarily turning off the PPM or programming to a VVI modus at 30 bpm to assess dependency → if high-degree AVB (second degree Mobitz II or third degree) or a slow (<30 bpm) or absent ventricular escape rhythm observed 44.4% 11.5 na na na
Pereira et alE6 100% AVB 3 33% Absence of any intrinsic or escape rhythm during back-up pacing at 30 beats/min (VVI) 27% 12 na
  • Porcelain aorta = independent predictors of pacing dependency at follow-up

na
Goldenberg et alE7 61.5% AVB
3% SSS
34% others
na 16.8% High degree of AVB (second degree or complete) or intrinsic rhythm <30 beats/min during pacemaker inhibition 29% 12 na na na
Ramazzina et alE8 46% AVB
55% others
na 36.1% >99% ventricular pacing 29% 12
  • Use of MCV

  • Diabetes

  • Atrial fibrillation before TAVI

  • Associated with no need for PPI

na
Boerlage-Van Dijk et alE9 91.3% AVB 3 19% Ventricular-paced rhythm (no other definition) 52% 11.3
  • Mitral annular calcification

  • Pre-existing RBBB

  • No factors found

4.3% atrial lead repositioning
4.3% pocket hematoma
4.3% cerebral vascular accident
Renilla et alE10 100% AVB 2 37.9% Presence of a high-degree AVB (Mobitz II and III) or a slow <30 bpm or absent ventricular escape rhythm (pacemaker turned off or programmed to VVI modus at 30 bpm) 39.1% 35 na na 3% pacemaker pocket infection
Petronio et alE11 na na 24.4% VVI programming 30 beats/min 40.7% 1
  • Implantation depth

  • Implantation depth <4 mm

na
Weber et alE12 90% AVB
2% bradycardy
2% SSS
5% others
na 23% Pacemaker is partially or frequently needed to ensure heartbeat 35% 9 na na na
Schernthaner et alE13 78% AVB
7% SSS
13% Others
7 20% Absence of an escape or intrinsic rhythm for 30 s during temporary back-up pacing at a rate of 30 bpm 37% 1.5 na na na
Kostopoulou et alE14 100% AVB na 22% Asystole or CHB with or without escape rhythm after cessation of pacing 9% 12
  • Prolonged HV interval prognostic for PPI

  • Trend between Δ QRS and PPI at 6-mo analysis

na
Sideris et alE15 100% AVB na 38.7% High ventricular pacing rate >99% 100% 6 na na 1.5% pneumothorax
Luke et alE16 100% AVB na 39.3% “Pacing" 0.7% 3
  • Previous conduction system disease

  • History of atrial fibrillation

Trends with
  • history of atrial fibrillation

  • presence of RBBB

  • male sex

  • atrioventricular nodal blocking drugs

na
Makki et alE17 63% AVB
4% bradycardia
33% others
3 14% Underlying ventricular asystole >5 s, CHB, >50% pacing, symptoms in the setting of bradycardia (rate <50 bpm) 33% 3 na na na
Nijenhuis et alE18 87% AVB 8 24% Ventricular pacing reported 68% 27
  • Previous atrial fibrillation

  • Use of digoxin

  • MCV implantation

  • Left heart axis

na na
Naveh et alE19 100% AVB na 34.5% Absent or inadequate intrinsic ventricular rhythm on pacemaker interrogation (intrinsic rhythm <30 bpm); >5% VP from the last follow-up on pacemaker interrogation; any evidence of VP on pacemaker interrogation in case where the programmed AV interval was >300 ms 68.4% 12
  • Baseline RBBB

  • PR interval (each increment of 10 milliseconds in PR interval, risk for PPI 17% greater)

na 0%
Alasti et alE20 89.2% AVB
2.6% SSS
7.8% Others
3 25% The need for ventricular pacing when the pacing rate was lowered to 40 bpm for 10 s → dependent: slow (<40 bpm) or absent ventricular escape rhythm or AVB (Mobitz II or III) 38% 12 na na 16% hematomas
Ortak et alE21 83% AVB
16% others
na 22% na 64% 1
  • Implantation depth

  • LOTUS implantation depth >4.8 mm = cut-off to predict PPI

na na
Rodes-Cabau et alE22 81% AVB
9% bradycardia
9% others
42 11% na 78% 12 na na na
Leong et alE23 74.6% AVB
20.8% bradycardia
13.5% others
2.3 44.8% Ventricular pacing reported 73% 2.4 na
  • Male sex

  • Increase in QRS duration post-TAVI

  • Associated with PPI

0%
Sharma et alE24 na na 11.1% Spontaneous response ventricular rate less than 30 bpm during backup pacing set at 30 beats/min for 30 s 32% 1 na
  • RBBB

  • Intra-procedural CHB

  • Bifascicular block

  • QRS duration >120 ms

  • All associated with pacing dependence at 30 d

na
Bacik et alE25 49.8% AVB
6.3% SSS
43.9% others
5.5 13.8% More than 95% pacing events 12% 12
  • Weight

  • Absence of AF

  • Aortic peak gradient

  • Aortic valve area

  • Severity of pulmonary hypertension

na na
Megaly et alE26 50.6% AVB
34.9% others
na 35% CHB requiring ventricular pacing 3.5% 12 na na na
Yazdchi et alE27 78% AVB 2 8.7% Ventricular pacing reported 87% 14 na na na
McCaffrey et alE28 na na 11.2% Ventricular pacing reported 75% 1 na
  • Predictive factors of acute conduction abnormalities (4)

  • Predictive factors of new conductions abnormalities after discharge (5)

na
Miura et alE29 90% AVB
10% SSS
6 5% Ventricular pacing reported 40% 12 na na na
Dhakal et alE30 80% AVB
17% SSS
3% others
2 17% Ventricular pacing rate 54% 2.7 RBBB In univariate analysis:
  • Valve size

  • SE valve

  • RBBB

  • Prolonged PR interval

na
Total 72% AVB
1.7% SSS
3% bradycardia
23.2% others
6,5 23.8% na na 9 na na na

Values are n (%). PPI, Pacemaker implantation; na, not available; AVB, atrioventricular block; SSS, sick sinus syndrome; LBBB, left bundle branch block; VVI, single-chamber device; AF, atrial fibrillation; RBBB, right bundle branch block; PPM, permanent pacemaker; MCV, Medtronic CoreValve; TAVI, transcatheter aortic valve implantation; CHB, complete heart block; SE, self-expandable.

Follow-up is reported as mean or median as given by the authors.