Tricuspid valve-in-valve jailing right ventricular lead is not free of risk

Catheter Cardiovasc Interv. 2020 Dec;96(7):E758-E760. doi: 10.1002/ccd.28622. Epub 2019 Nov 25.

Abstract

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.

Keywords: jailed pacemaker lead; pacemaker pocket infection; tricuspid valve-in-valve.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Bioprosthesis*
  • Cardiac Catheterization / instrumentation*
  • Device Removal
  • Female
  • Heart Valve Diseases / diagnostic imaging
  • Heart Valve Diseases / physiopathology
  • Heart Valve Diseases / surgery*
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis*
  • Humans
  • Pacemaker, Artificial / adverse effects*
  • Prosthesis Failure*
  • Prosthesis-Related Infections / diagnosis
  • Prosthesis-Related Infections / etiology*
  • Prosthesis-Related Infections / surgery
  • Risk Assessment
  • Risk Factors
  • Treatment Outcome
  • Tricuspid Valve / diagnostic imaging
  • Tricuspid Valve / physiopathology
  • Tricuspid Valve / surgery*