Consensus

DOI: 10.4244/EIJ-JAA-202501

Management of patients with transvalvular right ventricular leads undergoing transcatheter tricuspid valve interventions. A scientific statement of the European Heart Rhythm Association (EHRA) and the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC endorsed by the Heart Rhythm Society (HRS), the Asian Pacific Heart Rhythm Society (APHRS) and the Canadian Heart Rhythm Society (CHRS)

Jean-Claude Deharo1; Julien Dreyfus2; Maria-Grazia Bongiorni3; Haran Burri4; Pascal Defaye5; Michael Glikson6; Nigel Lever7; Antonio Mangieri8; Blandine Mondésert9; Jens Cosedis Nielse10; Maully Shah11; Christoph Thomas Starck12; Archana Rao13; Christophe Leclercq14; Fabien Praz15

Abstract

Up to one third of patients referred for transcatheter tricuspid valve intervention (TTVI) have a transvalvular pacemaker (PPM) or implantable cardioverter-defibrillator (ICD) lead in place. Both the electrophysiology and interventional cardiology communities have been alerted to the complexity of decision making in this situation due to potential interactions between the leads and the TTVI material, including the risk of jailing or damage to the leads. This document, commissioned by the European Heart Rhythm Association (EHRA) and the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC, reviews the scientific evidence to inform Heart Team discussions on the management of patients with a PPM or ICD who are scheduled for or have undergone TTVI.

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This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited.

This article has been co-published with permission in Europace and EuroIntervention. © The European Society of Cardiology 2025.

The articles are identical except for minor stylistic and spelling differences in keeping with each journal’s style. Either citation can be used when citing this article

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