ICE guidance reduces risk of permanent pacemaker implantation after TAVR with a self-expandable valve

Self-expandable TAVR cusp-overlap ICE

Basic views of transjugular intracardiac echocardiography (ICE) during transcatheter aortic valve replacement. Image courtesy of Ishizu et al. 

Heart teams can limit the risk of conduction disturbances that lead to permanent pacemaker implantation by utilizing both the cusp-overlap method and intracardiac echocardiography.