Key result
Implantation of a leadless pacemaker beside an abandoned end-of-life leadless pacemaker was performed in a patient with tricuspid transcatheter edge-to-edge repair.
Case Report (n=1)
Demonstrates the feasibility of implanting a new leadless pacemaker adjacent to an abandoned one in a patient with prior tricuspid transcatheter edge-to-edge repair.
LPM implantation after TV TEER appears feasible; extends prior case reports but leaves open need for prospective validation.
Leadless pacemaker (LPM) is the preferred pacing strategy for high-risk patients including those with diabetes mellitus, end-stage renal disease, and valvular heart disease. It carries less risk of infective endocarditis and less impact on tricuspid valve (TV) integrity compared to conventional pacemakers (1). Previous case reports have demonstrated successful implantation of LPMs in patients with TV transcatheter edge-to-edge repair (TEER) through neo-orifices, guided by echocardiography (2,3).
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Alqasem et al. (2025) conducted a case report in Tricuspid transcatheter edge-to-edge repair (n=1). Implantation of a leadless pacemaker beside an abandoned end-of-life leadless pacemaker was evaluated. Implantation of a leadless pacemaker beside an abandoned end-of-life leadless pacemaker was performed in a patient with tricuspid transcatheter edge-to-edge repair.
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