4.1 Article

A hybrid endocardial-epicardial biventricular implantable cardioverter-defibrillator to circumvent the tricuspid valve

Journal

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
Volume 44, Issue 2, Pages 399-401

Publisher

WILEY
DOI: 10.1111/pace.14099

Keywords

cardiac resynchronization therapy; epicardial; implantable cardioverter defibrillator; pacemaker; tricuspid regurgitation

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In order to reduce lead-related complications, the development of pacing and defibrillator systems that do not involve hardware traversing the tricuspid annulus is desirable. In some cases where transvenous leads cannot be used, alternative strategies are needed, such as a hybrid system involving endocardial and epicardial components for implanting a biventricular implantable cardioverter defibrillator.
The development of pacing and defibrillator systems that do not involve hardware traversing the tricuspid annulus can be desirable in order to minimize lead-related complications such as tricuspid regurgitation. Occasionally, primary tricuspid valve pathology (ie, infectious endocarditis, nonbacterial thrombotic endocarditis, and carcinoid disease) or congenital heart disease prohibits use of transvenous leads and alternative strategies are required to provide pacing or defibrillation. We describe such a case in which a biventricular implantable cardioverter defibrillator was implanted using a hybrid system involving endocardial and epicardial components.

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