{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:54:11Z","timestamp":1791258851333,"version":"4.1.0"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"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:p>Transvenous right ventricular lead implantation after tricuspid transcatheter edge\u2010to\u2010edge repair (T\u2010TEER) may be challenging because of potential interaction with implanted repair devices, grasped leaflets, or the repaired coaptation zone. We describe three patients requiring transvenous pacemaker or implantable cardioverter\u2010defibrillator implantation after T\u2010TEER with TriClip or PASCAL systems. In each case, the posterior\u2010most T\u2010TEER device was used as a fluoroscopic landmark to guide lead passage inferior and posterior to the device toward an unobstructed posteroseptal residual orifice. Pacemaker leads were delivered using catheter\u2010and\u2010wire crossing followed by advancement of a long slittable sheath, whereas the defibrillator lead required direct shaping and fluoroscopic manipulation because of sheathlead incompatibility. Implantation was successful in all three patients. During 612 months of follow\u2010up, tricuspid regurgitation remained mild or trace, mean transtricuspid gradients ranged from 1.8 to 2.1 mmHg, and no echocardiographic leadleaflet or leaddevice interaction or lead\u2010related complications were observed. This fluoroscopy\u2010guided, device\u2010sparing strategy may represent a practical option when transvenous right ventricular lead implantation is clinically necessary after T\u2010TEER.<\/jats:p>","DOI":"10.1111\/pace.70463","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:45:24Z","timestamp":1791258324000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Device\u2010Sparing Posteroseptal Trans\u2010Tricuspid Lead Implantation After Tricuspid TEER: A Three\u2010Case Device Rounds Report"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7155-9907","authenticated-orcid":false,"given":"Georgios E.","family":"Papadopoulos","sequence":"first","affiliation":[{"name":"Cardiology Department Interbalkan Medical Center  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4444-3781","authenticated-orcid":false,"given":"Ilias","family":"Ninios","sequence":"additional","affiliation":[{"name":"Cardiology Department Interbalkan Medical Center  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sotirios","family":"Evangelou","sequence":"additional","affiliation":[{"name":"Cardiology Department Interbalkan Medical Center  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apostolia","family":"Marvaki","sequence":"additional","affiliation":[{"name":"Cardiology Department Interbalkan Medical Center  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5600-7454","authenticated-orcid":false,"given":"Maria","family":"Kalaitzoglou","sequence":"additional","affiliation":[{"name":"Cardiology Department Interbalkan Medical Center  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Ioannides","sequence":"additional","affiliation":[{"name":"Cardiology Department Interbalkan Medical Center  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0390-7172","authenticated-orcid":false,"given":"Vlasis","family":"Ninios","sequence":"additional","affiliation":[{"name":"Cardiology Department Interbalkan Medical Center  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"issue":"5","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1002\/clc.22104","article-title":"Tricuspid Regurgitation in Patients With Pacemakers and Implantable Cardiac Defibrillators: A Comprehensive Review","volume":"36","author":"Al\u2010Bawardy R.","year":"2013","journal-title":"Clinical Cardiology"},{"issue":"5","key":"e_1_2_8_3_1","doi-asserted-by":"crossref","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 J.\u2010C.","year":"2025","journal-title":"EP Europace"},{"issue":"10","key":"e_1_2_8_4_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":"35","key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"3427","DOI":"10.1093\/eurheartj\/ehab364","article-title":"2021 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronization Therapy: Developed by the Task Force on Cardiac Pacing and Cardiac Resynchronization Therapy of the European Society of Cardiology (ESC) With the Special Contribution of the European Heart Rhythm Association (EHRA)","volume":"42","author":"Glikson M.","year":"2021","journal-title":"European Heart Journal"},{"issue":"23","key":"e_1_2_8_6_1","first-page":"2878","article-title":"Tricuspid Valve Transcatheter Edge\u2010to\u2010Edge Repair in Patients With Cardiac Implantable Electronic Devices: Insights From EuroTR","volume":"18","author":"Stein J.","year":"2025","journal-title":"JACC: Cardiovascular Interventions"},{"issue":"5","key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"e245","DOI":"10.4244\/EIJ-E-24-00061","article-title":"CIED and Tricuspid Regurgitation\u2014a LEADing Problem?","volume":"21","author":"Andreas M.","year":"2025","journal-title":"EuroIntervention"},{"issue":"6","key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.cjco.2019.10.002","article-title":"Lead\u2010Specific Features Predisposing to the Development of Tricuspid Regurgitation after Endocardial Lead Implantation","volume":"1","author":"Anvardeen K.","year":"2019","journal-title":"CJC Open"},{"issue":"4","key":"e_1_2_8_9_1","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/j.jcmg.2013.11.007","article-title":"3D Echocardiographic Location of Implantable Device Leads and Mechanism of Associated Tricuspid Regurgitation","volume":"7","author":"Mediratta A.","year":"2014","journal-title":"JACC Cardiovasc Imaging"},{"issue":"8","key":"e_1_2_8_10_1","doi-asserted-by":"crossref","first-page":"e1716","DOI":"10.1016\/j.hrthm.2026.04.015","article-title":"2026 HRS\/AHA\/APHRS\/EHRA\/IDSA\/LAHRS\/PACES\/STS Expert Consensus Statement Update on Cardiovascular Implantable Electronic Device Lead Management and Extraction","volume":"23","author":"Document R.","year":"2026","journal-title":"Heart Rhythm"},{"issue":"6","key":"e_1_2_8_11_1","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1093\/europace\/euaa047","article-title":"Implantation of Leadless Pacemaker Through Neo\u2010Orifice After Tricuspid Valve Edge\u2010to\u2010Edge Repair","volume":"22","author":"Adukauskaite A.","year":"2020","journal-title":"EP Europace"},{"issue":"10","key":"e_1_2_8_12_1","doi-asserted-by":"crossref","first-page":"2098","DOI":"10.1016\/j.hrthm.2025.10.013","article-title":"Alternative Pacing Strategies After Transcatheter Tricuspid Valve Interventions: Procedural Challenges and Lessons Learned","volume":"23","author":"Tat E.","year":"2025","journal-title":"Heart Rhythm"}],"container-title":["Pacing and Clinical 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