Evidence map›Paper›PMID 41863532›Full record

ArticleJACC. Case reports2026

Transcatheter Tricuspid Valve Replacement for His Bundle Pacing Lead-Associated Tricuspid Regurgitation.

Karishma Pareek, Maximilian Reisinger, Daniel Lustgarten, Harold L Dauerman, Kramer Wahlberg, Trace Barrett, Rony Lahoud, Tanush Gupta

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Karishma PareekDivision of Cardiology, Department of Medicine, University of Vermont Medical Center, Burlington, Vermont, USA.
Maximilian ReisingerDivision of Cardiology, Department of Medicine, University of Vermont Medical Center, Burlington, Vermont, USA; Department of Medicine, University of Vermont Medical Center, Burlington, Vermont, USA.
Daniel LustgartenDivision of Cardiology, Department of Medicine, University of Vermont Medical Center, Burlington, Vermont, USA.
Harold L DauermanDivision of Cardiology, Department of Medicine, University of Vermont Medical Center, Burlington, Vermont, USA.
Kramer WahlbergDivision of Cardiology, Department of Medicine, University of Vermont Medical Center, Burlington, Vermont, USA.
Trace BarrettDivision of Cardiology, Department of Medicine, University of Vermont Medical Center, Burlington, Vermont, USA.
Rony LahoudDivision of Cardiology, Department of Medicine, University of Vermont Medical Center, Burlington, Vermont, USA.
Tanush GuptaDivision of Cardiology, Department of Medicine, University of Vermont Medical Center, Burlington, Vermont, USA. Electronic address: Tanush.Gupta@uvmhealth.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the management of lead-associated tricuspid regurgitation (TR) using transcatheter tricuspid valve replacement (TTVR) in a patient with His bundle pacing (HBP). KEY STEPS: A multidisciplinary heart team recommended TTVR for suspected HBP lead-associated TR after failed lead extraction. The tricuspid valve was crossed posterior and lateral to the leads under transesophageal echocardiographic and fluoroscopic guidance to avoid entanglement. The TTVR delivery system was advanced across the tricuspid annulus and optimized for position and trajectory. After confirming leaflet capture, the valve was deployed stepwise. Postprocedural device interrogation was performed to assess for compromise to lead function. POTENTIAL PITFALLS: Avoiding entanglement with transvalvular leads is critical but can be technically challenging. Although pacemaker malfunction after lead jailing is uncommon, HBP leads may be particularly vulnerable given their fragility and the proximity of their distal tip to the tricuspid valve annulus. TAKE-HOME MESSAGE: TTVR can be performed safely and effectively in patients with HBP lead-associated TR.

Indexed as

cardiac implantable electronic devicesconduction system pacinglead entrapmentstructural heart interventiontotal lead extraction

Identifiers

PMID41863532
PMCPMC13350387

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.