Key result
In a patient with a prosthetic tricuspid valve, novel placement of a single-coil ICD lead in the right atrium combined with a subcutaneous coil successfully provided defibrillation therapy.
Case Report (n=1)
No
Placement of a defibrillation lead in the right atrium combined with a subcutaneous coil and an epicardial pacing lead is a feasible alternative for providing ICD therapy in patients with a prosthetic tricuspid valve.
May offer an alternative ICD approach in prosthetic tricuspid valve patients; hypothesis-generating case report requiring prospective validation.
As the placement of transvenous leads across a prosthetic tricuspid valve is preferentially avoided, one must consider alternative solutions to provide necessary pacing and/or defibrillator therapy. Here, we present a case of novel placement of an implantable cardioverter-defibrillator (ICD) lead in the right atrium, in order to provide safe ICD therapy in a patient with a prosthetic tricuspid valve.
No takes yet. Share an insight, caveat, or question.
Patel et al. (2017) conducted a case report in Prosthetic tricuspid valve requiring ICD therapy (n=1). Right atrial ICD lead placement with subcutaneous coil was evaluated on Successful defibrillation. In a patient with a prosthetic tricuspid valve, novel placement of a single-coil ICD lead in the right atrium combined with a subcutaneous coil successfully provided defibrillation therapy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: