Extraction of looped transvenous pacing leads to reduce tricuspid regurgitation

Pacing Clin Electrophysiol. 2017 Jun;40(6):644-647. doi: 10.1111/pace.13085. Epub 2017 May 3.

Abstract

Transvenous leads are a known source of iatrogenic tricuspid regurgitation. It is commonly held that extraction of chronic pacing and defibrillator leads will not reduce this, due to the inevitable trauma to the valve associated with the procedure. We demonstrate three cases of clinically significant reductions in tricuspid regurgitation after extraction of leads that were looped across the tricuspid valve.

Keywords: congestive heart failure; defibrillation - ICD; instrumentation; lead extraction; pacing.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / methods
  • Catheterization, Peripheral / adverse effects
  • Catheterization, Peripheral / methods
  • Device Removal / methods*
  • Electrodes, Implanted / adverse effects*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pacemaker, Artificial / adverse effects*
  • Treatment Outcome
  • Tricuspid Valve Insufficiency / diagnostic imaging
  • Tricuspid Valve Insufficiency / etiology*
  • Tricuspid Valve Insufficiency / prevention & control*