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Complications of transvenous lead extraction-focus on tricuspid valve damage: a case report.
Eur Heart J Case Rep
January 2025
1st Department of Arrhythmia, National Institute of Cardiology, 42 Alpejska Street, 04-628 Warsaw, Poland.
Background: Transvenous lead extraction (TLE) has become an essential component of lead management strategies, but it carries the risk of severe complications, including damage to the tricuspid valve. Currently, there are no established predictors that can help prevent these complications.
Case Summary: An 84-year-old male with a dual-chamber pacemaker was admitted to the hospital due to a pocket fistula resulting from a local infection.
Uncommon Cardiac Perforation and Lead Displacement After Pacemaker Implantation: A Case Study and Diagnostic Insights.
Am J Case Rep
December 2024
School and Graduate Institute of Nursing, China Medical University, Taichung City, Taiwan.
BACKGROUND Pacemaker implantation serves as a prevalent therapeutic approach for bradycardia or atrioventricular blocks associated with syncope. While generally regarded as safe, this procedure is not devoid of rare yet severe complications. Examples include lead-induced cardiac perforation resulting in pneumothorax or pericardial effusion, which pose life-threatening risks.
View Article and Find Full Text PDFEffects on tricuspid regurgitation by different techniques for passing permanent pacemaker leads through the tricuspid valve: a randomized, open-label, superiority clinical trial study protocol.
Trials
November 2024
Department of Cardiology, First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.
Background: In recent years, lead-induced tricuspid regurgitation (LITR) has attracted increasing attention. At present, there are two commonly used transvalvular methods for pacing lead wires to enter the right ventricle. The first transvalvular approach involves placing the tip of the pacing lead directly through the tricuspid valve into the right ventricle, including "direct-crossing" and "drop-down.
View Article and Find Full Text PDFPacemaker lead extraction saved a severe lead-induced tricuspid regurgitation: a case report.
Eur Heart J Case Rep
November 2024
Department of Cardiology, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, No. 92, Aiguo Road, Nanchang City, Jiangxi Province 330006, China.
Background: Pacemaker lead-induced tricuspid regurgitation is a common complication after cardiac implantable electronic device (CIED) implantation. Cardiac implantable electronic device lead removal is a challenge procedure.
Case Summary: A 72-year-old lady was admitted due to worsening heart failure.
Tricuspid valve surgery following septal myectomy in patients with a cardiac implantable electronic device.
JTCVS Open
August 2024
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minn.
Article Synopsis
- Patients with hypertrophic cardiomyopathy (HCM) frequently experience cardiac arrhythmias and often require cardiac implantable electronic devices (CIED), which can lead to complications like tricuspid regurgitation (TR) needing surgery.
- In a study of 21 patients who had tricuspid valve (TV) surgery for device lead-induced TR after undergoing septal myectomy (SM) for HCM, the majority had severe TR and associated symptoms of right heart failure.
- Results showed that while the immediate surgical outcomes were acceptable, long-term survival for these patients was significantly lower (58% at 5 years) compared to other patients who had undergone SM (96%).
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