Valvular & structural heart disease
Pacing considerations in patients undergoing transcatheter tricuspid valve replacement: Insights from a tertiary care center
Authors' conclusion
More than 20% of patients with jailed leads after TTVR have serious complications due to lead malfunctions. TTVR-related heart block was common in our cohort (13%), and its treatment with LP or TV-sparing pacing systems was safe and effective.
Study context
- Population
- Patients who underwent transcatheter tricuspid valve replacement (TTVR) at Emory Healthcarepatients who underwent TTVR
- Participants
- 73 patients
- Comparison
- Preexisting permanent pacing systems vs Jailed leads
- Preexisting permanent pacing systemsn = 21
- Jailed leadsn = 14
- Outcome
- Preexisting permanent pacing systems
Main finding
As reported in the abstract
Patients with preexisting permanent pacing systems
21
29%
Further findings
Management of transvenous leads at TTVR
- Transvenous lead jailed
- 14 patients (73.7%)
- Lead extraction
- Five patients (26.3%)
- Of those extracted: Tricuspid valve (TV)-sparing pacing system
- n = 2
- Of those extracted: ventricular LP
- n = 2
- Of those extracted: no device reimplantation
- 1 patient
Heart block requiring permanent pacing after TTVR
- Heart block requiring permanent pacing
- 7 of 52 patients (13%)
- Of those with heart block: received an LP
- 4 patients
- Of those with heart block: TV-sparing pacemaker
- 2 patients
- Of those with heart block: lead implanted across the valve
- 1
Follow-up
- Average follow-up
- 10.5 months
Safety
- Complications in patients with jailed leads · average follow-up of 10.5 months
- 21% · 3 of 14 of 14
- Complications in patients with jailed leads — Fractured lead revision required
- Two patients
- Complications in patients with jailed leads — of the revisions: complicated by infection resulting in death
- One
Complications in patients with jailed leads · average follow-up of 10.5 months
- Patient with jailed right ventricular lead died suddenly 1 week after discharge
Original publication
Pacing considerations in patients undergoing transcatheter tricuspid valve replacement: Insights from a tertiary care center. Heart Rhythm. Published 24 April 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →