{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:46:34Z","timestamp":1791945994289,"version":"4.3.4"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The increasing adoption of transcatheter tricuspid valve replacement (TTVR) offers a promising therapeutic option for patients with severe tricuspid regurgitation. However, many of these patients have pre-existing cardiac implantable electronic devices (CIEDs), raising concerns about potential lead-related complications. Despite these concerns, limited data exist on the impact of TTVR on CIED integrity and function. This study aimed to evaluate the impact of TTVR on CIED lead function, including pacing thresholds, sensing, and impedance, in patients undergoing TTVR with the EVOQUE valve system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>A retrospective observational study was conducted at Mayo Clinic Rochester, including 32 consecutive patients who underwent TTVR with pre-existing CIEDs. A total of 32 patients were included, with a mean age of 79.2 \u00b1 8.4 years; 59% were female. A total of 62.5% had a permanent pacemaker, 12.5% had an implantable cardioverter-defibrillator, 15.6% had a cardiac resynchronization therapy pacemaker, and 9.4% had a cardiac resynchronization therapy defibrillator. Following TTVR, 10 (31%) of patients developed lead function changes during a median device follow-up of 210 days (IQR: 43\u2013307 days). The right ventricular lead was primarily affected, with only one case involving an atrial lead. Neither the Ottawa score nor the anatomical lead position reliably predicted lead abnormality (P = 0.86 and P = 0.53, respectively). R-wave sensing changes were the most common lead change observed, affecting 55% of cases. In 67% of these cases, R-wave sensing alterations occurred as an isolated finding, with no significant change in impedance or thresholds, and were managed conservatively without any need for device reprogramming. Four patients (13%) had findings concerning for a lead insulation breach, in which one (3%) required a lead revision. Among five patients with follow-up exceeding 600 days, two patients exhibited a statistically significant gradual decline in impedance without other lead dysfunction, suggesting potential subclinical lead degradation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Transcatheter tricuspid valve replacement with the EVOQUE system in the setting of cardiac device leads is associated with lead function changes in 31%. The majority of lead-related changes were managed conservatively, but 13% of patients had findings concerning for an insulation breach. Future studies should focus on refining implantation techniques and defining optimal strategies for managing device-lead interactions in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euaf219","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T13:44:15Z","timestamp":1760449455000},"source":"Crossref","is-referenced-by-count":12,"title":["Device-lead abnormalities and function after transcatheter tricuspid valve replacement"],"prefix":"10.1093","volume":"27","author":[{"given":"Muhannad","family":"Abbasi","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Rochester , 200 1st ST SW, Rochester, MN 55902 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5525-1806","authenticated-orcid":false,"given":"Ammar M","family":"Killu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Rochester , 200 1st ST SW, Rochester, MN 55902 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9897-3553","authenticated-orcid":false,"given":"Christoff","family":"Van Niekerk","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Florida , Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9560-1102","authenticated-orcid":false,"given":"Abhishek","family":"Deshmukh","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Rochester , 200 1st ST SW, Rochester, MN 55902 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2831-4568","authenticated-orcid":false,"given":"Malini","family":"Madhavan","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Rochester , 200 1st ST SW, Rochester, MN 55902 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5897-9464","authenticated-orcid":false,"given":"Yong-Mei","family":"Cha","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Rochester , 200 1st ST SW, Rochester, MN 55902 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7694-3617","authenticated-orcid":false,"given":"Siva K","family":"Mulpuru","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Rochester , 200 1st ST SW, Rochester, MN 55902 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5052-2948","authenticated-orcid":false,"given":"Paul A","family":"Friedman","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Rochester , 200 1st ST SW, Rochester, MN 55902 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8936-522X","authenticated-orcid":false,"given":"Kimberly","family":"Holst","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Rochester , 200 1st ST SW, Rochester, MN 55902 , USA"},{"name":"Department of Cardiovascular Surgery, Mayo Clinic Rochester , Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charanjit S","family":"Rihal","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Rochester , 200 1st ST SW, Rochester, MN 55902 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6082-5379","authenticated-orcid":false,"given":"Mackram F","family":"Eleid","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Rochester , 200 1st ST SW, Rochester, MN 55902 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9921-6968","authenticated-orcid":false,"given":"Alan","family":"Sugrue","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic Rochester , 200 1st ST SW, Rochester, MN 55902 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"2025101603403710800_euaf219-B1","first-page":"481","article-title":"Transcatheter tricuspid valve replacement with the EVOQUE system: 1-year outcomes of a multicenter, first-in-human experience","volume":"15","author":"Webb","year":"2022","journal-title":"Cardiovasc Interv"},{"key":"2025101603403710800_euaf219-B2","doi-asserted-by":"crossref","first-page":"4862","DOI":"10.1093\/eurheartj\/ehad667","article-title":"Transfemoral tricuspid valve replacement and one-year outcomes: the TRISCEND study","volume":"44","author":"Kodali","year":"2023","journal-title":"Eur Heart J"},{"key":"2025101603403710800_euaf219-B3","first-page":"115","article-title":"Transcatheter valve replacement in severe tricuspid regurgitation","volume":"329","author":"Hahn","year":"2024","journal-title":"N Engl J Med"},{"key":"2025101603403710800_euaf219-B4","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\u2019approach","volume":"25","author":"Gabriels","year":"2023","journal-title":"Europace"},{"key":"2025101603403710800_euaf219-B5","doi-asserted-by":"crossref","first-page":"e008092","DOI":"10.1161\/CIRCEP.119.008092","article-title":"Impedance in the diagnosis of lead malfunction","volume":"13","author":"Swerdlow","year":"2020","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"2025101603403710800_euaf219-B6","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.ccep.2018.07.004","article-title":"Monitoring for and diagnosis of lead dysfunction","volume":"10","author":"Nair","year":"2018","journal-title":"Card Electrophysiol Clin"},{"key":"2025101603403710800_euaf219-B7","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":"2025101603403710800_euaf219-B8","doi-asserted-by":"crossref","first-page":"euaf061","DOI":"10.1093\/europace\/euaf061","article-title":"Management of patients with transvalvular right ventricular leads undergoing transcatheter tricuspid valve interventions: a scientific statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC endorsed by the Heart Rhythm Society, the Asian Pacific Heart Rhythm Society and the Canadian Heart Rhythm Society","volume":"27","author":"Deharo","year":"2025","journal-title":"Europace"},{"key":"2025101603403710800_euaf219-B9","doi-asserted-by":"crossref","first-page":"euae191","DOI":"10.1093\/europace\/euae191","article-title":"Evaluation of tricuspid valve regurgitation following transvenous rotational mechanical lead extraction","volume":"26","author":"Migliore","year":"2024","journal-title":"Europace"},{"key":"2025101603403710800_euaf219-B10","doi-asserted-by":"crossref","first-page":"euae111","DOI":"10.1093\/europace\/euae111","article-title":"Transfemoral leadless pacemaker implantation after interventional or surgical tricuspid valve repair","volume":"26","author":"Fink","year":"2024","journal-title":"Europace"}],"container-title":["Europace"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/europace\/article-pdf\/27\/10\/euaf219\/64714486\/euaf219.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/europace\/article-pdf\/27\/10\/euaf219\/64714486\/euaf219.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T07:40:43Z","timestamp":1760600443000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/europace\/article\/doi\/10.1093\/europace\/euaf219\/8287284"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":10,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10,7]]}},"URL":"https:\/\/doi.org\/10.1093\/europace\/euaf219","relation":{},"ISSN":["1099-5129","1532-2092"],"issn-type":[{"value":"1099-5129","type":"print"},{"value":"1532-2092","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,10]]},"published":{"date-parts":[[2025,10]]},"article-number":"euaf219"}}