“…(13) It is important to emphasize that, although the use of TEE has been a protective variable on the manifestation of AoR, (24) there are other factors that might condition the results. (25,26) In this sense, some authors found significant differences with respect to the need for permanent pacemaker implantation in favor of patients treated with GA, although in our experience we have not seen any difference. (19) A fact of fundamental importance is the decrease of procedural time in the LA group, in agreement with other reports.…”