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Fluoroscopy-Guided Tricuspid Valve Crossing for Leadless Pacemaker Implantation in a Patient With Multiple Prior Valve Interventions

Pierre Ollitrault, MD, MSc

09/30/2021

Introduction

Video supplement to “Leadless Pacemaker Implantation in a Patient With Previous Aortic, Mitral, and Tricuspid Valve Interventions,” by Ollitrault. (October 2021 Clinical Images).

An 81-year-old patient with previous transcatheter aortic valve replacement, transcatheter mitral valve repair, and conventional biological tricuspid valve (TV) replacement presented with symptomatic complete atrioventricular block. Pacemaker implantation was performed under mild sedation, through a 27 Fr outer-diameter right femoral venous sheath. Fluoroscopy-guided TV crossing, demonstrated in the following video series, was performed using the Micra Transcatheter Pacing System (Medtronic) aiming for a right ventricular septal position.

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