Why the study?
Does lead extraction with lasing across the tricuspid valve increase tricuspid valve regurgitation compared to extraction without a laser sheath crossing the valve in patients with chronically implanted leads?
Population
43 consecutive patients undergoing extraction of 50 chronically implanted ventricular pacing and implantable…
Comparison
Lead extraction with lasing across the tricuspid… vs Lead extraction without a sheath crossing the…
Design
Cohort
Authors
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May worsen tricuspid regurgitation after extraction; leaves open differential laser sheath risk.
Does lead extraction with lasing across the tricuspid valve increase tricuspid valve regurgitation compared to extraction without a laser sheath crossing the valve in patients with chronically implanted leads?
Lead extraction, particularly when requiring a laser sheath across the tricuspid valve, carries a risk of worsening tricuspid regurgitation, cautioning against the indiscriminate extraction of superfluous leads.
Roeffel et al. (2002) studied this question.
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