Service de Cardiologie et Maladies Vasculaires, CHU de Rennes, Rennes, France, Université de Rennes 1, CIC-IT 1414, Rennes, France, and INSERM, U1099, Rennes, France.
Service de Cardiologie et Maladies Vasculaires, CHU de Rennes, Rennes, France, Université de Rennes 1, CIC-IT 1414, Rennes, France, and INSERM, U1099, Rennes, France.
Heart Rhythm. 2018 Jul;15(7):1081-1088. doi: 10.1016/j.hrthm.2018.01.015. Epub 2018 Jan 8.
The demand for tricuspid valve (TV) surgery has increased continuously in the last years. Recent registry data have confirmed that TV repair or replacement carry an increased risk of conduction disorders requiring permanent pacemaker implantation, specifically for patients having multivalve surgery. The implantation of an endocardial right ventricular lead in those patients may impair TV function, and some other approaches may be discussed to avoid traversing the valve. This contemporary review describes the different options currently available for patients requiring pacemaker or defibrillation leads implantation after TV surgery.
近年来，三尖瓣（TV）手术的需求不断增加。最近的注册数据证实，TV 修复或置换术会增加需要永久性心脏起搏器植入的传导障碍风险，特别是对于接受多瓣膜手术的患者。在这些患者中，心内膜右心室导线的植入可能会损害 TV 功能，因此可能需要讨论其他一些方法来避免穿过瓣膜。本文对目前 TV 手术后需要植入起搏器或除颤导线的患者的不同选择进行了综述。
