Tricuspid Valve Dysfunction Caused by Right Ventricular Leads

Card Electrophysiol Clin. 2018 Sep;10(3):447-452. doi: 10.1016/j.ccep.2018.05.006. Epub 2018 Jul 20.

Abstract

Tricuspid regurgitation is increasingly recognized as a clinically significant valvular condition. The role of multiple pacemaker and implantable cardiac defibrillator leads in distortion of the valve structure and the risk of trauma to the valve and subvalvular apparatus with lead extraction contribute to the development of tricuspid regurgitation (TR). There is a clinical imperative to better understand the optimal way to diagnose lead-related TR, risk factors for the development of TR, and optimal strategies to mitigate this problem.

Keywords: Lead-related dysfunction; Right ventricular leads; Tricuspid regurgitation; Tricuspid valve.

Publication types

  • Review

MeSH terms

  • Arrhythmias, Cardiac / therapy
  • Defibrillators, Implantable / adverse effects*
  • Heart Ventricles
  • Humans
  • Pacemaker, Artificial / adverse effects*
  • Risk Factors
  • Tricuspid Valve / physiopathology*
  • Tricuspid Valve Insufficiency* / diagnosis
  • Tricuspid Valve Insufficiency* / etiology
  • Tricuspid Valve Insufficiency* / physiopathology