{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:18:19Z","timestamp":1787008699052,"version":"build-2736575974"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T00:00:00Z","timestamp":1735257600000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transvenous lead extraction (TLE) has become an essential component of lead management strategies, but it carries the risk of severe complications, including damage to the tricuspid valve. Currently, there are no established predictors that can help prevent these complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>An 84-year-old male with a dual-chamber pacemaker was admitted to the hospital due to a pocket fistula resulting from a local infection. Approximately 1 year prior, he underwent the implantation of a new ventricular lead and pacemaker replacement due to lead damage and battery depletion. Another lead had been abandoned. The patient underwent a procedure to remove the entire pacing system, which was complicated by tricuspid leaflet avulsion, resulting in acute and severe tricuspid regurgitation. A biological valve was successfully implanted to replace the damaged valve. Twenty days later, a new pacing system was implanted, which included one atrial lead and another positioned in the posterolateral coronary vein of the left ventricle. Post-procedural transthoracic echocardiography (TTE) showed the biological valve in place at the tricuspid orifice, with no regurgitation and preserved ejection fraction. Following recovery, the patient was discharged in good condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>While pre-procedural TTE and intra-procedural transesophageal echocardiography are commonly used to identify lead-induced tricuspid insufficiency, they often do not clarify the underlying mechanisms or predict potential complications during TLE. To address this issue safely, further research into new imaging techniques is necessary, as some existing methods may not be adequate in certain situations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae695","type":"journal-article","created":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T15:31:37Z","timestamp":1735227097000},"source":"Crossref","is-referenced-by-count":3,"title":["Complications of transvenous lead extraction\u2014focus on tricuspid valve damage: a case report"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9300-4655","authenticated-orcid":false,"given":"Anna","family":"Jargie\u0142o","sequence":"first","affiliation":[{"name":"1st Department of Arrhythmia, National Institute of Cardiology , 42 Alpejska Street, 04-628 Warsaw ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej","family":"Sterli\u0144ski","sequence":"additional","affiliation":[{"name":"1st Department of Arrhythmia, National Institute of Cardiology , 42 Alpejska Street, 04-628 Warsaw ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artur","family":"Or\u0119ziak","sequence":"additional","affiliation":[{"name":"1st Department of Arrhythmia, National Institute of Cardiology , 42 Alpejska Street, 04-628 Warsaw ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rados\u0142aw","family":"Praco\u0144","sequence":"additional","affiliation":[{"name":"1st Department of Arrhythmia, National Institute of Cardiology , 42 Alpejska Street, 04-628 Warsaw ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Ko\u0142sut","sequence":"additional","affiliation":[{"name":"1st Department of Arrhythmia, National Institute of Cardiology , 42 Alpejska Street, 04-628 Warsaw ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,12,27]]},"reference":[{"key":"2025012113151250300_ytae695-B1","doi-asserted-by":"crossref","first-page":"9100","DOI":"10.3390\/ijerph18179100","article-title":"Analysis of risk factors for major complications of 1500 transvenous lead extraction procedures with especial attention to tricuspid valve damage","volume":"18","author":"Tu\u0142ecki","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2025012113151250300_ytae695-B2","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1016\/j.jacep.2017.05.007","article-title":"Complications and health care costs associated with transvenous cardiac pacemakers in a nationwide assessment","volume":"3","author":"Cantillon","year":"2017","journal-title":"JACC Clin Electrophysiol"},{"key":"2025012113151250300_ytae695-B3","doi-asserted-by":"crossref","first-page":"e503","DOI":"10.1016\/j.hrthm.2017.09.001","article-title":"2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction","volume":"14","author":"Kusumoto","year":"2017","journal-title":"Heart Rhythm"},{"key":"2025012113151250300_ytae695-B4","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1053\/j.jvca.2016.08.014","article-title":"Severe tricuspid valve injury during right ventricular lead extraction","volume":"31","author":"Hai","year":"2017","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"2025012113151250300_ytae695-B5","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1093\/eurheartj\/ehad783","article-title":"Tricuspid valve disease and cardiac implantable electronic devices","volume":"45","author":"Andreas","year":"2024","journal-title":"Eur Heart J"},{"key":"2025012113151250300_ytae695-B6","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1007\/s10840-017-0266-2","article-title":"Pacemaker-induced tricuspid regurgitation is uncommon immediately post-implantation","volume":"49","author":"Rothschild","year":"2017","journal-title":"J Interv Card Electrophysiol"},{"key":"2025012113151250300_ytae695-B7","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1016\/j.echo.2020.06.014","article-title":"Nonapical right ventricular pacing is associated with less tricuspid valve interference and long-term progress of tricuspid regurgitation","volume":"33","author":"Yu","year":"2020","journal-title":"J Am Soc Echocardiogr"},{"key":"2025012113151250300_ytae695-B8","doi-asserted-by":"crossref","first-page":"53","DOI":"10.33963\/v.kp.98740","article-title":"Impact of lead position on tricuspid regurgitation, ventricular function, and heart failure exacerbation and mortality after cardiac implantable electronic device implantation. Preliminary results from the PACE-RVTR Registry","volume":"82","author":"Chod\u00f3r-Rozwadowska","year":"2024","journal-title":"Kardiol Pol"},{"key":"2025012113151250300_ytae695-B9","doi-asserted-by":"crossref","first-page":"1049482","DOI":"10.3389\/fcvm.2023.1049482","article-title":"His-Purkinje system pacing reduced tricuspid regurgitation in patients with persistent atrial fibrillation after left-sided valve surgery","volume":"10","author":"Wang","year":"2023","journal-title":"Front Cardiovasc Med"},{"key":"2025012113151250300_ytae695-B10","doi-asserted-by":"crossref","first-page":"e007124","DOI":"10.1161\/CIRCEP.118.007124","article-title":"Impact of leadless pacemaker therapy on cardiac and atrioventricular valve function through 12 months of follow-up","volume":"12","author":"Beurskens","year":"2019","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"2025012113151250300_ytae695-B11","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1111\/cpf.12662","article-title":"Echocardiographic findings in patients with cardiac implantable electronic devices-analysis of factors predisposing to lead-associated changes","volume":"41","author":"Nowosielecka","year":"2021","journal-title":"Clin Physiol Funct Imaging"},{"key":"2025012113151250300_ytae695-B12","doi-asserted-by":"crossref","first-page":"1233","DOI":"10.1002\/clc.23660","article-title":"The role of transesophageal echocardiography in predicting technical problems and complications of transvenous lead extractions procedures","volume":"44","author":"Nowosielecka","year":"2021","journal-title":"Clin Cardiol"},{"key":"2025012113151250300_ytae695-B13","doi-asserted-by":"crossref","first-page":"euad300","DOI":"10.1093\/europace\/euad300","article-title":"Lead management in patients undergoing percutaneous tricuspid valve replacement or repair: a \u2018heart team\u2019 approach","volume":"25","author":"Gabriels","year":"2023","journal-title":"Europace"},{"key":"2025012113151250300_ytae695-B14","doi-asserted-by":"publisher","first-page":"1421","DOI":"10.1016\/j.jacep.2018.11.009","article-title":"Transvenous extraction of pacemaker and defibrillator leads and the risk of tricuspid valve regurgitation","volume":"4","author":"Park","year":"2018","journal-title":"JACC Clin Electrophysiol"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytae695\/61282019\/ytae695.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/9\/1\/ytae695\/61282019\/ytae695.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/9\/1\/ytae695\/61282019\/ytae695.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T08:15:33Z","timestamp":1737447333000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytae695\/7933351"}},"subtitle":[],"editor":[{"given":"Felix","family":"Wiedmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Neil","family":"Bodagh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Mark","family":"Elliott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Franca","family":"Morselli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,12,24]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,12,24]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytae695","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,1]]},"published":{"date-parts":[[2024,12,24]]},"article-number":"ytae695"}}