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  • Title: Transcatheter tricuspid valve-in-valve in patients with transvalvular device leads.
    Author: Eleid MF, Asirvatham SJ, Cabalka AK, Hagler DJ, Noseworthy PA, Taggart NW, Rihal CS.
    Journal: Catheter Cardiovasc Interv; 2016 Mar; 87(4):E160-5. PubMed ID: 25946058.
    Abstract:
    OBJECTIVE: To describe the effects of percutaneously implanted valve-in-valve in the tricuspid position for patients with pre-existing transvalvular device leads. METHODS: In this case series, we describe implantation of the Melody valve and SAPIEN XT valve within dysfunctional bioprosthetic tricuspid valves in three patients with transvalvular device leads. RESULTS: In all cases, the valve was successfully deployed and device lead function remained unchanged. In 1/3 cases with 6-month follow-up, device lead parameters remain unchanged and transcatheter valve-in-valve function remains satisfactory. CONCLUSIONS: Transcatheter tricuspid valve-in-valve is feasible in patients with pre-existing transvalvular devices leads. Further study is required to determine the long-term clinical implications of this treatment approach.
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