Key result
Jailing an RV lead during tricuspid ViV risks incomplete extraction during subsequent device infection.
Why the study?
Device-related complications requiring lead extraction after transcatheter tricuspid valve-in-valve implantation in pacer-dependent patients highlight the need for improved periprocedural strategies.
Case Report (n=1)
May warrant caution with jailed RV leads in tricuspid ViV; leaves open optimal pacing strategies in prospective studies.
Transcatheter tricuspid valve in valve (TViV) is increasingly performed on patients with degenerated bioprosthetic valves and elevated surgical risk. Jailing a right ventricular (RV) pacer lead at the time of TViV implantation has been achieved without causing lead dysfunction; however, device-related complications that require lead extraction raise the need for better periprocedural strategies for TViV, in pacer-dependent patients. We describe a case of device pocket infection with incomplete lead extraction, due to a jailed RV lead at the time of TViV.
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Rios et al. (2019) conducted a case report in Severe aortic stenosis and degenerated tricuspid bioprosthesis with a permanent pacing lead (n=1). Tricuspid valve-in-valve (TViV) implantation jailing a right ventricular lead was evaluated. Jailing a right ventricular pacing lead during tricuspid valve-in-valve implantation poses significant long-term risks, as demonstrated by a case of device pocket infection resulting in incomplete lead extraction.
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