Registry for patients undergoing pacemaker/ICD implantation including a transtricuspid lead with and without intraprocedural transesophageal echocardiography to evaluate risk factors for lead induced tricuspid regurgitation.
Lead induced tricuspid regurgitation is a common finding after pacemaker/ICD Implantation. Transesophageal echocardiography (TEE) might be used to guide lead implantations in order to prevent tricuspid regurgitation. In this registry, patients undergoing pacemaker/ICD implantation including a transtricuspid lead are enrolled. While in most patients lead implantation is guided by fluroscopy, in some patients lead implantation is guided by TEE in addition to fluroscopy. Aims of this registry: Evaluation of * Incidence of lead induced tricuspid regurgitation * Mortality and morbidity of lead induced tricuspid regurgitation * Identification of risk factors for lead induced tricuspid regurgitation * Influence of the lead position within the tricuspid valve on the incidence of lead induced tricuspid regurgitation * Prevention of lead induced tricuspid regurgitation by TEE-guided lead implantation
Study Type
OBSERVATIONAL
Enrollment
124
In patients undergoing lead implantation including transesophageal echocardiography for clinical reasons (e.g. intraprocedural cardioversion), echocardiography was also used for guidance of lead implantation to reduce lead-leaflet interactions
LMU Klinikum
Munich, Bavaria, Germany
Increase of tricuspid regurgitation by at least one grade (on a scale from 0-4)
Lead induced tricuspid regurgitation measured by transthoracic echocardiography
Time frame: 2 - 7 days post-implant (at hospital discharge)
Dose-are product
Dose-are product applied during lead implantation
Time frame: Intraprocedural
Lead revisions
Incidence of acute lead revisions within 30 days
Time frame: 30 days
Increase of tricuspid regurgitation by at least one grade (on a scale from 0-4)
Lead induced tricuspid regurgitation measured by transthoracic echocardiography
Time frame: 3 months
Increase of tricuspid regurgitation by at least one grade (on a scale from 0-4)
Lead induced tricuspid regurgitation measured by transthoracic echocardiography
Time frame: 12 months
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