Key Points
- Describe a case of tricuspid valve perforation resulting from transvenous pacemaker lead insertion and review associated catheter-related complications.
- Clinical case evaluation documenting tricuspid valve injury following transvenous endocardial pacemaker electrode insertion.
- Review of historical incidence rates and clinical spectrum of transvenous catheter electrode complications.
- Documented direct mechanical perforation of the tricuspid valve caused by an inserted transvenous pacemaker catheter.
- Catheter electrode displacement occurred in 10% to 15% of patients across reviewed clinical series, alongside rarer complications including myocardial perforation, atrial thrombi, air embolism, and phrenic nerve stimulation.
Structured PICO
IInterventionTransvenous pacemaker insertion
OOutcomePerforation of the tricuspid valvesafety
This case report highlights tricuspid valve perforation as a potential complication of transvenous pacemaker insertion.