Dual coronary sinus lead implantation for biventricular pacing avoided tricuspid valve traversal and was technically feasible without procedural complications in three patients.
Case Report (n=3)
Is dual coronary sinus lead implantation feasible and safe for biventricular pacing in patients with prior tricuspid valve interventions?
Dual coronary sinus lead implantation is a feasible alternative for biventricular pacing that avoids crossing the tricuspid valve in patients with prior tricuspid interventions.
ABSTRACT Patients requiring permanent pacing after tricuspid valve intervention present challenges due to the need to cross tricuspid valve prostheses. We report three cases of successful dual coronary sinus (CS) lead implantation for biventricular pacing following a range of tricuspid interventions—surgical tricuspid annuloplasty, transcatheter edge‐to‐edge repair, and transcatheter tricuspid valve replacement. The approach avoided tricuspid valve traversal, was technically feasible and resulted in satisfactory pacing performance without procedural complications. Dual CS lead configurations were individualized based on CS anatomy and pacing characteristics. The degree of QRS narrowing achieved varied according to lead location and ventricular activation patterns, highlighting the importance of individualized lead placement strategies and device programming. Dual CS lead pacing may represent a viable alternative for biventricular pacing in selected patients with prior tricuspid valve interventions. Larger studies are needed to evaluate long‐term outcomes and define the optimal role of this approach among available pacing strategies in this patient population.
Baqal et al. (Sat,) conducted a case report in Need for permanent pacing after tricuspid valve intervention (n=3). Dual coronary sinus (CS) lead implantation was evaluated on Technical feasibility, pacing performance, and procedural complications. Dual coronary sinus lead implantation for biventricular pacing avoided tricuspid valve traversal and was technically feasible without procedural complications in three patients.