Key result
Leadless pacemaker placement through the Evoque tricuspid valve proves feasible in a case series.
Why the study?
Catheter-based tricuspid valve prostheses carry a significant risk of heart block, but valve complexity makes standard transvenous pacemaker placement undesirable.
Can a leadless pacemaker be successfully placed through the orifice of an Evoque tricuspid valve prosthesis?
Case Report
Can a leadless pacemaker be successfully placed through the orifice of an Evoque tricuspid valve prosthesis?
Demonstrates the feasibility of placing a leadless pacemaker through an Evoque tricuspid valve prosthesis in patients developing heart block.
There is an increasing recognition of the importance of tricuspid valve disease. Surgical treatment has been less than optimal and medical therapy has poor results. Catheter based delivery has revolutionized the delivery of aortic valve prostheses and trials of catheter based tricuspid valve prostheses are ongoing. Like surgical tricuspid interventions, these procedures are associated with a significant risk of heart block, as expected from their anatomic location. The complexity of these valve prostheses makes placement of a standard transvenous system undesirable. We present a series of patients who had successful placement of a leadless pacemaker system through the valve orifice.
No takes yet. Share an insight, caveat, or question.
Crossley et al. (2022) conducted a case report in Tricuspid valve disease. Leadless pacemaker system was evaluated on Successful placement of a leadless pacemaker system. Placement of a leadless pacemaker system through the Evoque tricuspid valve orifice was successfully performed in a series of patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: