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Outcomes of tricuspid regurgitation after lead extraction.
- Source :
- Journal of Cardiovascular Electrophysiology; May2024, Vol. 35 Issue 5, p929-938, 10p
- Publication Year :
- 2024
-
Abstract
- Introduction: Transvenous leads have been implicated in tricuspid valve (TV) dysfunction, but limited data are available regarding the effect of extracting leads across the TV on valve regurgitation. The aim of this study is to quantify tricuspid regurgitation (TR) before and after lead extraction and identify predictors of worsening TR. Methods: We studied 321 patients who had echocardiographic data before and after lead extraction. TR was graded on a scale (0 = none/trivial, 1 = mild, 2 = moderate, 3 = severe). A change of >1 grade following extraction was considered significant. Results: A total of 321 patients underwent extraction of a total of 338 leads across the TV (1.05 ± 0.31 leads across the TV per patient). There was no significant difference on average TR grade pre‐ and postextraction (1.18 ± 0.91 vs. 1.15 ± 0.87; p = 0.79). TR severity increased after extraction in 84 patients, but was classified as significantly worse (i.e., >1 grade change in severity) in only 8 patients (2.5%). Use of laser lead extraction was associated with a higher rate of worsening TR postextraction (44.0% vs. 31.6%, p = 0.04). Conclusion: In our single‐center analysis, extraction of leads across the TV did not significantly affect the extent of TR in most patients. Laser lead extraction was associated with a higher rate of worsening TR after extraction. [ABSTRACT FROM AUTHOR]
- Subjects :
- TRICUSPID valve
T-test (Statistics)
TREATMENT effectiveness
MEDICAL device removal
CHI-squared test
DESCRIPTIVE statistics
PRE-tests & post-tests
MITRAL valve insufficiency
IMPLANTABLE cardioverter-defibrillators
CARDIAC pacing
DATA analysis software
TRICUSPID valve diseases
ELECTROPHYSIOLOGY
ECHOCARDIOGRAPHY
Subjects
Details
- Language :
- English
- ISSN :
- 10453873
- Volume :
- 35
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Cardiovascular Electrophysiology
- Publication Type :
- Academic Journal
- Accession number :
- 177635972
- Full Text :
- https://doi.org/10.1111/jce.16227