Effect of Right Ventricular Endocardial Versus Epicardial Leads on Outcomes in Patients With Tricuspid Valve Prosthesis

Abstract

Endocardial right ventricular (EnRV) leads are described as a potential cause of native tricuspid valve regurgitation (TR). Need for cardiac pacing after tricuspid valve surgery is common, but little is known about the postoperative consequences of EnRV compared to epicardial right ventricular (EpiRV) lead implantation after tricuspid valve repair (TVr) or bioprosthetic tricuspid valve replacement (bTVR). This study aimed to assess TR, lead function, and risk of infection in patients with a tricuspid valve prosthesis followed by EnRV versus EpiRV lead implant.