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Permanent pacing in patients with tricuspid valve replacements
J P Cooper1, S R Jayawickreme, R H Swanton
1Department of Cardiology, UCL Hospitals.
British Heart Journal
|February 1, 1995
Summary
Permanent pacing is frequently needed after tricuspid valve replacement. Endocardial leads are associated with fewer complications compared to epicardial leads, suggesting consideration during surgery.
Area of Science:
- Cardiovascular Surgery
- Cardiac Electrophysiology
Background:
- Tricuspid valve replacement (TVR) is a significant cardiac procedure.
- The need for permanent pacing following TVR is not well-established.
Purpose of the Study:
- To determine the incidence of permanent pacing after tricuspid valve replacement.
- To evaluate complications associated with permanent pacing in this patient cohort.
Main Methods:
- Retrospective analysis of 45 patients undergoing tricuspid valve replacement between 1978 and 1993.
- Follow-up data assessed for the requirement of permanent pacing and lead-related complications.
Main Results:
- 22% of patients (10 out of 45) required permanent pacing.
- Five patients received epicardial leads, and five received endocardial leads.
- Endocardial leads demonstrated lower initial implantation thresholds and fewer complications.
Conclusions:
- Permanent pacing is a common requirement post-tricuspid valve replacement.
- Consideration of endocardial or epicardial lead insertion during TVR is recommended.