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Journal of Structural Heart Disease, October 2017, Volume 3, Issue 5:157-162
DOI: 10.12945/j.jshd.2017.024.17

Rapid Pacing Using the Guidewire During Transcatheter Tricuspid Valve in Valve Implantation

Amnon Eitan, MD, Ariel Roguin, MD, PhD, Arthur Kerner, MD

Cardiology Department, Rambam Health Care Campus, Haifa, Israel

Abstract

Transcatheter valve replacement is now widely used to treat high-risk patients. This approach is also expanding to the tricuspid valve, mostly for “valve-invalve” and “valve-in-ring” implantations. Rapid pacing during transcatheter valve implantation is used to reduce cardiac output and minimize the risk of valve dislodgement. Rapid pacing is usually done using the patient’s permanent pacemaker or a temporary pacing electrode that is usually introduced retrogradely into the left ventricle or coronary sinus. Here, we describe the use of the tricuspid valve-in-valve implantation super-stiff guidewire for rapid pacing during implantation of the valve. This approach may obviate the need for ancillary steps that may increase procedure time, X-ray exposure, and risk of complications.

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Cite this article as: Eitan A, Roguin A, Kerner A. Rapid Pacing Using the Guidewire During Transcatheter Tricuspid Valve in Valve Implantation. Structural Heart Disease 2017;3(5):157-162. DOI: 10.12945/j.jshd.2017.024.17

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