Transcatheter tricuspid valve intervention in the presence of a cardiac implantable electronic device; state of the art review

Craig Basman; Sameer Jamal; Sung Han Yoon; Yuriy Dudiy; Mark Anderson; David Landers; Ryan Kaple

doi:10.1002/ccd.31183

Transcatheter tricuspid valve intervention in the presence of a cardiac implantable electronic device; state of the art review

Craig Basman, Sameer Jamal, Sung Han Yoon, Yuriy Dudiy, Mark Anderson, David Landers, Ryan Kaple

School of Medicine

Hackensack Meridian School of Medicine

Research output: Contribution to journal › Review article › peer-review

Abstract

A large proportion of patients referred for transcatheter tricuspid valve intervention (TTVI) will have the presence of a cardiac implantable electronic device (CIED). In such patients, surgical correction of tricuspid regurgitation (TR) is associated with high rates of morbidity and mortality. Transvenous lead extraction (TLE) could potentially ameliorate CIED-induced TR; however, it carries inherent risks and frequently does not result in TR improvement. As multiple TTVI devices are in trial to gain regulatory approval, understanding which therapy is most appropriate among patients with a CIED is essential. This review centers on the nonsurgical treatment, including TLE and transcatheter tricuspid valve repair and replacement options, aimed at enhancing outcomes in patients with TR who also have concurrent CIEDs.

Original language	English
Pages (from-to)	790-799
Number of pages	10
Journal	Catheterization and Cardiovascular Interventions
Volume	104
Issue number	4
DOIs	https://doi.org/10.1002/ccd.31183
State	Published - Oct 1 2024

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

Keywords

CIED
pacemaker
transcatheter tricuspid valve repair
transcatheter tricuspid valve replacement
tricuspid regurgitation

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10.1002/ccd.31183

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title = "Transcatheter tricuspid valve intervention in the presence of a cardiac implantable electronic device; state of the art review",

abstract = "A large proportion of patients referred for transcatheter tricuspid valve intervention (TTVI) will have the presence of a cardiac implantable electronic device (CIED). In such patients, surgical correction of tricuspid regurgitation (TR) is associated with high rates of morbidity and mortality. Transvenous lead extraction (TLE) could potentially ameliorate CIED-induced TR; however, it carries inherent risks and frequently does not result in TR improvement. As multiple TTVI devices are in trial to gain regulatory approval, understanding which therapy is most appropriate among patients with a CIED is essential. This review centers on the nonsurgical treatment, including TLE and transcatheter tricuspid valve repair and replacement options, aimed at enhancing outcomes in patients with TR who also have concurrent CIEDs.",

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AU - Dudiy, Yuriy

AU - Anderson, Mark

AU - Landers, David

AU - Kaple, Ryan

PY - 2024/10/1

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AB - A large proportion of patients referred for transcatheter tricuspid valve intervention (TTVI) will have the presence of a cardiac implantable electronic device (CIED). In such patients, surgical correction of tricuspid regurgitation (TR) is associated with high rates of morbidity and mortality. Transvenous lead extraction (TLE) could potentially ameliorate CIED-induced TR; however, it carries inherent risks and frequently does not result in TR improvement. As multiple TTVI devices are in trial to gain regulatory approval, understanding which therapy is most appropriate among patients with a CIED is essential. This review centers on the nonsurgical treatment, including TLE and transcatheter tricuspid valve repair and replacement options, aimed at enhancing outcomes in patients with TR who also have concurrent CIEDs.

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KW - transcatheter tricuspid valve repair

KW - transcatheter tricuspid valve replacement

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Transcatheter tricuspid valve intervention in the presence of a cardiac implantable electronic device; state of the art review

Abstract

ASJC Scopus subject areas

Keywords

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