Key result
Lead-sparing tricuspid valve replacement leaving an ICD lead in a paravalvular position yielded favorable short-term results in a patient with a transvenous ICD.
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Lead sparing tricuspid valve replacement leaving an ICD lead in a paravalvular position is a feasible technique for complex lead management cases.
Tricuspid valve (TV) surgery represents a complex consideration regarding lead management in patients with a transvenous ICD. The presented case shows favorable short-term results after lead sparing TV replacement, leaving an ICD lead in a paravalvular position. The described technique can be used in challenging cases of TV replacement.
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Paech et al. (2018) studied this question. Lead-sparing tricuspid valve replacement leaving an ICD lead in a paravalvular position yielded favorable short-term results in a patient with a transvenous ICD.
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