Long-term synchronization of old transvenous dual-chamber pacemaker and newly implanted leadless ventricular pacemaker with atrial sensing capability

Teodorovich, Nicholay; Paz, Offir; Jaber, Mustafa; Haber, Guy; Diamante, Rafael; Swissa, Moshe

doi:10.1016/j.hrcr.2021.06.005

Cited by 1 publication

(1 citation statement)

References 5 publications

(6 reference statements)

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“…In addition to traditional leadless pacemakers, hybrid approaches using a combination of a trans-venous device for atrial pacing and a leadless pacemaker for ventricular pacing have also been reported. 157–159 Single-site coronary sinus pacing with a traditional trans-venous device is another alternative in patients to avoid placing a trans-venous lead across the newly instrumented TV. 160 Current data suggest that implanting CIED leads across a bioprosthetic TV or following a tricuspid ring annuloplasty does not significantly change the incidence of TR when compared to controls who did not receive trans-valvular leads.…”

Section: Cardiac Implantable Electronic Devices Options Following Tri...mentioning

confidence: 99%

Lead management in patients undergoing percutaneous tricuspid valve replacement or repair: a ‘heart team’ approach

Gabriels,

Schaller,

Koss

et al. 2023

Europace

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Clinically significant tricuspid regurgitation (TR) has historically been managed with either medical therapy or surgical interventions. More recently, percutaneous transcatheter tricuspid valve (TV) replacement and tricuspid transcatheter edge-to-edge repair have emerged as alternative treatment modalities. Patients with cardiac implantable electronic devices (CIEDs) have an increased incidence of TR. Severe TR in this population can occur for multiple reasons, but most often results from the interactions between the CIED lead and the TV apparatus. Management decisions in patients with CIED leads and clinically significant TR, who are undergoing evaluation for a percutaneous TV intervention, need careful consideration as a transvenous lead extraction (TLE) may both worsen and improve TR severity. Furthermore, given the potential risks of “jailing” a CIED lead at the time of a percutaneous TV intervention (lead fracture, risk of subsequent infections), consideration should be given to performing a TLE prior to a percutaneous TV intervention. The purpose of this “state-of-the-art” review is to provide an overview of the causes of TR in patients with CIEDs, discuss the available therapeutic options for patients with TR and CIED leads and to advocate for including a lead management specialist as a member of the “Heart Team” when making treatment decisions in patients TR and CIED leads.

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Section: Cardiac Implantable Electronic Devices Options Following Tri...mentioning

confidence: 99%

Lead management in patients undergoing percutaneous tricuspid valve replacement or repair: a ‘heart team’ approach

Gabriels,

Schaller,

Koss

et al. 2023

Europace

View full text Add to dashboard Cite

show abstract

Long-term synchronization of old transvenous dual-chamber pacemaker and newly implanted leadless ventricular pacemaker with atrial sensing capability

Cited by 1 publication

References 5 publications

Lead management in patients undergoing percutaneous tricuspid valve replacement or repair: a ‘heart team’ approach

Lead management in patients undergoing percutaneous tricuspid valve replacement or repair: a ‘heart team’ approach

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