STSTVT-0522 - Sequence # 9002 | Intra/Post Procedure Events Occurred, Permanent Pacemaker-0522 - Sequence # 9002 | Intra/Post Procedure Events Occurred, Permanent Pacemaker

0522 - Sequence # 9002 | Intra/Post Procedure Events Occurred, Permanent Pacemaker

Video Transcription

Video Summary

In this STS-ACC TBT Registry May 2022 case scenario, an 84-year-old male patient with a history of incomplete left bundle branch block undergoes a TAVR procedure. However, an hour after the procedure, he becomes hemodynamically unstable and is diagnosed with a complete heart block. The patient is taken to the cath lab for an emergency temporary pacemaker insertion, followed by a permanent pacemaker implantation the next day. The question posed is whether the permanent pacemaker implantation should be captured in sequence number 9002, Intra-Post-Procedure Events Occurred Permanent Pacemaker, and the answer is yes. Pre-existing dysrhythmias that were not an indication for pacemaker before the procedure cannot be exempted. This case scenario is part of the STS ACC TVT Registry.

Keywords

TAVR procedure

hemodynamically unstable

complete heart block

temporary pacemaker insertion

permanent pacemaker implantation