Lead-related tricuspid regurgitation and ventricle dysfunction: current management and future perspectives

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SUMMARY

    Imaging techniques for the assessment of lead position Two-dimensional echocardiography Conventional 2D transthoracic echocardiography (TTE) has limitations in its anatomical assessment of the tricuspid valve (TV) because only 2 leaflets can be visualized simultaneously on the atypical parasternal view. Yu et_al assessed the position of the leads on chest radiography in the PA view and found that nonapical RV lead position was not as often associated with TV interference as apical RV lead position. According to Trankle et_al and Chang et_al, "prolapsing" reduces the risk of perforation and laceration of the TV leaflets . . .

     

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