Alfred E. Buxton, MD, a leading expert in cardiac electrophysiology, and Marie-France Poulin, MD, an interventional cardiology professor, delve into the complexities of cardiac conduction after transcatheter aortic valve replacement. They discuss their study's key findings, particularly the link between pre-existing conditions and the risk of conduction blocks. The duo emphasizes the importance of intracardiac monitoring during TAVR and shares insights on procedural strategies, pacing needs, and the nuances of conduction disturbances, offering a rich understanding for practitioners in the field.