{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:04:33Z","timestamp":1784700273582,"version":"3.55.0"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Permanent pacing after tricuspid transcatheter edge\u2010to\u2010edge repair (TEER) may be technically challenging due to the risk of interaction between pacing systems and repair devices. Evidence guiding optimal pacing strategies in this setting remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We report a single\u2010center case series of three patients with previous tricuspid TEER who required permanent pacing. Device selection and procedural planning were guided by multimodality imaging, including transesophageal echocardiography (TEE) and intracardiac echocardiography (ICE). Valve\u2010sparing pacing strategies were selected according to individual clinical characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two elderly patients underwent implantation of a leadless pacemaker, while a third patient with dilated cardiomyopathy underwent left bundle branch area pacing (LBBAP) during cardiac resynchronization therapy upgrade. Imaging guidance allowed safe traversal of the repaired tricuspid valve while avoiding mechanical interaction with the TEER devices. All procedures were successful, with stable pacing parameters and no procedural complications. Tricuspid regurgitation remained unchanged in all patients during follow\u2010up. In the patient undergoing LBBAP, left ventricular ejection fraction improved from 30% to 57% at 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Valve\u2010sparing pacing strategies guided by multimodality imaging appear feasible and safe in patients with prior tricuspid TEER. Leadless pacemakers and conduction system pacing represent complementary options that can be tailored to individual clinical profiles.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70373","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:30:42Z","timestamp":1784698242000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Valve\u2010Sparing Pacing Strategies After Tricuspid TEER: An Imaging\u2010Guided Case Series"],"prefix":"10.1111","author":[{"given":"Patricia","family":"Aza\u00f1\u00f3n\u2010Cantero","sequence":"first","affiliation":[{"name":"Department of Cardiology University Hospital Virgen De Las Nieves  Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo J.","family":"S\u00e1nchez\u2010Mill\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Hospital Virgen De Las Nieves  Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc\u00eda Torres","family":"Quintero","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Hospital Virgen De Las Nieves  Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Jim\u00e9nez\u2010J\u00e1imez","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Hospital Virgen De Las Nieves  Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Molina\u2010Lerma","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Hospital Virgen De Las Nieves  Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"issue":"14","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1093\/eurheartj\/ehae101","article-title":"Leadless Pacemakers at 5\u2010Year Follow\u2010Up: The Micra Transcatheter Pacing System Post\u2010Approval Registry","volume":"45","author":"El\u2010Chami M. F.","year":"2024","journal-title":"European Heart Journal"},{"issue":"11","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euaf268","article-title":"Comparison of Readmission Outcomes and Complications Between Leadless and Traditional Transvenous Pacemakers in Older Adults: A Nationwide Readmission Analysis of 49852 Admission Events","volume":"27","author":"He J.","year":"2025","journal-title":"Europace"},{"issue":"2","key":"e_1_2_9_4_1","article-title":"Conduction System Stimulation to Avoid Left Ventricle Dysfunction","volume":"17","author":"Gonz\u00e1lez\u2010Matos C. E.","year":"2024","journal-title":"Circulation: Arrhythmia and Electrophysiology"},{"issue":"13","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1016\/j.jacc.2022.07.019","article-title":"Randomized Trial of Left Bundle Branch vs. Biventricular Pacing for Cardiac Resynchronization Therapy","volume":"80","author":"Wang Y.","year":"2022","journal-title":"Journal of the American College of Cardiology"},{"issue":"2","key":"e_1_2_9_6_1","first-page":"135","article-title":"Left Bundle Branch Area Pacing for Cardiac Resynchronization Therapy: Results From the International LBBAP Collaborative Study Group","volume":"7","author":"Vijayaraman P.","year":"2021","journal-title":"JACC: Clinical Electrophysiology"},{"issue":"2","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.hrcr.2021.11.015","article-title":"First Case of Pacemaker Implantation in a Patient With Previous Percutaneous Edge\u2010to\u2010Edge Tricuspid Valve Repair","volume":"8","author":"Vitali F.","year":"2022","journal-title":"HeartRhythm Case Reports"},{"issue":"10","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"1310","DOI":"10.1016\/j.cjco.2021.05.014","article-title":"Successful Implantation of a Leadless Pacemaker in a Patient With a Tricuspid Clip","volume":"3","author":"Terricabras M.","year":"2021","journal-title":"CJC Open"},{"issue":"10","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1016\/j.hrcr.2025.07.012","article-title":"Leadless Pacemaker Implantation in a Patient With a History of Tricuspid Edge\u2010to\u2010Edge Repair","volume":"11","author":"Demirtakan Z.","year":"2025","journal-title":"HeartRhythm Case Reports"},{"issue":"4","key":"e_1_2_9_10_1","article-title":"Feasibility of Conduction System Pacing After Transcatheter Tricuspid Valve Replacement With the Cardiovalve System","volume":"30","author":"Est\u00e9vez\u2010Paniagua \u00c1.","year":"2025","journal-title":"JACC: Case Reports"},{"issue":"9","key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.1007\/s10840-024-01875-y","article-title":"Successful Left Bundle Branch Area Pacing in a Patient With Three TriClip Devices","volume":"67","author":"Onishi Y.","year":"2024","journal-title":"Journal of Interventional Cardiac Electrophysiology"},{"issue":"2","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/j.hrthm.2025.06.031","article-title":"Step\u2010by\u2010Step Approach to Ultrasound\u2010Guided Leadless Pacemaker Implantation","volume":"23","author":"Kewcharoen J.","year":"2026","journal-title":"Heart Rhythm"},{"issue":"17","key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"1514","DOI":"10.4244\/EIJ-D-19-01078","article-title":"Complementary Roles of Intracardiac and Transoesophageal Echocardiography in Transcatheter Tricuspid Interventions","volume":"15","author":"Alkhouli M.","year":"2020","journal-title":"EuroIntervention"},{"issue":"5","key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"165","DOI":"10.3390\/jcdd12050165","article-title":"Early Experience With Acuson AcuNav 4D\u2010ICE to Guide Transcatheter Tricuspid Edge\u2010to\u2010Edge Repair: 4D Intracardiac Echocardiography Compared to Transesophageal Echocardiography","volume":"12","author":"Biroli M.","year":"2025","journal-title":"Journal of Cardiovascular Development and Disease"},{"issue":"4","key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1093\/europace\/euad044","article-title":"EHRA Clinical Consensus Statement on Conduction System Pacing Implantation: Executive Summary","volume":"25","author":"Burri H.","year":"2023","journal-title":"Europace"},{"issue":"1","key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.hrthm.2025.02.004","article-title":"Pacing Considerations in Patients Undergoing Transcatheter Tricuspid Valve Replacement: Insights From a Tertiary Care Center","volume":"23","author":"Mekary W.","year":"2026","journal-title":"Heart Rhythm"},{"issue":"4","key":"e_1_2_9_17_1","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1093\/europace\/euad044","volume":"25","author":"Vijayaraman P.","year":"2023","journal-title":"Europace"}],"container-title":["Pacing and Clinical 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