Managing Implanted Cardiac Electronic Devices in Patients with Severe Tricuspid Regurgitation: JACC State-of-the-Art Review (JACC May 2024-2)-Article: Managing Implanted Cardiac Electronic Devices in Patients with Severe Tricuspid Regurgitation: JACC State-of-the-Art Review

Article: Managing Implanted Cardiac Electronic Devices in Patients with Severe Tricuspid Regurgitation: JACC State-of-the-Art Review

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The document discusses the management of implanted cardiac electronic devices in patients with severe tricuspid regurgitation, focusing on the risks associated with lead entrapment during tricuspid valve replacement and the potential benefits of lead extraction. It emphasizes the importance of a multidisciplinary team in decision-making, discusses the safety and risks of lead extraction, and explores alternatives like leadless pacemakers. The text underscores the significance of careful evaluation, risk stratification, and collaboration among cardiologists, imagers, surgeons, and electrophysiologists. Furthermore, it calls for more research to guide clinical practice and improve patient outcomes in managing tricuspid regurgitation and cardiac implantable electronic devices. The document stresses the need for evidence-based strategies and individualized approaches in this complex clinical scenario.

Keywords

implanted cardiac electronic devices

tricuspid regurgitation

lead entrapment

tricuspid valve replacement

lead extraction

multidisciplinary team

leadless pacemakers

risk stratification

collaboration

evidence-based strategies