Valvular & structural heart diseaseMeta-analysis
Leadless Pacemakers in the Setting of Surgical and Transcatheter Tricuspid Valve Procedures
- systematic review
Authors' conclusion
Across a broad spectrum of complex tricuspid anatomies, leadless pacemakers demonstrated excellent feasibility, durable electrical performance, and a low complication profile, supporting their role as a valve-sparing pacing strategy in this population. These findings support leadless pacing in patients with prior tricuspid intervention, although prospective comparative data are required to define its role relative to alternative pacing modalities.
Study context
- Population
- Patients undergoing surgical or transcatheter tricuspid valve interventions who received leadless pacemaker implantation
- Participants
- 272 Thirty-four studies
Pooled result
As reported in the abstract
procedural success rate
99.3%
Further pooled results
Electrical performance · during follow-up
- stable capture thresholds, sensing amplitudes, and impedance
Device-valve interaction
- infrequent and generally manageable
Worsening tricuspid regurgitation attributable to the leadless pacemaker or its delivery system
- no study demonstrated worsening tricuspid regurgitation attributable to the leadless pacemaker or its delivery system
Safety
Leadless pacemaker-related complications
- Leadless pacemaker-related complications
- 1.1%
- no device-related mortality
Original publication
Summarised from the published abstract; every number is checked against it