Page 34 - Journal of Structural Heart Disease Volume 3, Issue 5

Case Report 160
Figure 3. Rapid pacing (see rhythm strip at bottom) through the Amplatz super-sti guidewire (arrows) positioned through the tri- cuspid valve in the right ventricle into the pulmonary artery during implantaion of a Sapien S3 valve.
valve implantation. Pacing was performed through existing leads or with a temporary pacing catheter/ wire, most often introduced retrogradely into the left ventricle or coronary sinus. Only one patient out of 156 had complete atrio-ventricular block requiring a permanent pacemaker; therefore, it seems there is no
need for a back-up pacing electrode during TTVI in valve. Rapid pacing using the guidewire as a unipolar electrode saves puncture of the femoral artery for ret- rograde left ventricular pacing.
In a report of 22 patients with tricuspid valve regurgitation who underwent catheterization
Journal of Structural Heart Disease, October 2017
Volume 3, Issue 5:157-162