Conduction disturbances and permanent pacemaker implantation (PPMI) remain a frequent and important consequence of transcatheter aortic valve replacement (TAVR). Understanding risk factors for TAVR-related conduction disturbances could improve patient selection, procedural techniques, and periprocedural efforts for monitoring and treatment of heart block. Several studies have identified patient-related and procedural factors associated with new-onset left bundle branch block, high-degree atrioventricular block, and the need for PPMI after TAVR. Notable patient-related predictors include preexisting right bundle branch block, membranous septal length, and calcification of the left ventricular outflow tract. Modifiable procedural predictors include device implantation depth, prosthesis oversizing, and valve type. This review aims to summarize the current literature examining predictors of conduction disturbances and PPMI after TAVR, particularly with regard to the newer-generation valve types. We also propose a management algorithm for the management of conduction disturbances postprocedure.

传导障碍和永久性起搏器植入 (PPMI) 仍然是经导管主动脉瓣置换术 (TAVR) 的常见且重要的后果。了解 TAVR 相关传导障碍的危险因素可以改善患者选择、手术技术和围手术期监测和治疗心脏传导阻滞的努力。几项研究已经确定了与新发左束支传导阻滞、高度房室传导阻滞和 TAVR 后需要 PPMI 相关的患者相关和程序因素。值得注意的与患者相关的预测因素包括预先存在的右束支传导阻滞、膜间隔长度，以及左心室流出道钙化。可修改的程序预测因素包括装置植入深度、假体尺寸过大和瓣膜类型。本综述旨在总结当前检查 TAVR 后传导障碍和 PPMI 预测因素的文献，特别是关于新一代瓣膜类型。我们还提出了一种用于管理术后传导干扰的管理算法。