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Transvenous valve‐in‐valve replacement preserving the function of a transvalvular defibrillator lead
Author(s) -
Meester Pieter,
Budts Werner,
Gewillig Marc
Publication year - 2014
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25451
Subject(s) - medicine , lead (geology) , cardiology , tricuspid valve , percutaneous , shock (circulatory) , surgery , geomorphology , geology
Although feasibility and efficacy of percutaneous tricuspid valve‐in‐valve implantation have been established, a transtricuspid pacing or defibrillator lead might preclude this technique: lead damage can cause lead dysfunction resulting in inappropriate or inefficient pacing or shocks. In these cases, lead removal is thought to be the only option. We describe a patient who presented with rapid clinical deterioration due to tricuspid valve stenosis early after implantation of an internal defibrillator with a transvalvular shock‐lead. A transvenous valve‐in‐valve implantation of the tricuspid valve was performed after protecting the defibrillator‐lead with a custom‐made covered stent. We describe the technical issues, the clinical outcome, and the evolution of lead function after implantation. © 2014 Wiley Periodicals, Inc.