Tricuspid insufficiency after laser lead extraction

Yasser Rodriguez, Julian Mesa, Eric Arguelles, Roger G. Carrillo

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Background The use of laser lead extraction (LLE) to remove pacemaker and implantable cardiac defibrillator leads has become more prevalent in the past decade. Though the procedure is associated with a low rate of complications, LLE still poses some risks to patients. Some reports have suggested an increase in tricuspid insufficiency (TI) associated with LLE. We present a series of patients who underwent both LLE and complete evaluation for TI with echocardiographic techniques. Methods From August 2008 to January 2010, 173 prospective, consecutive patients underwent LLE in a single center. All patients had transesophageal echocardiograms (TEE) during the extraction. Fifty-three patients had tricuspid valve function evaluated a day before the procedure with a transthoracic echocardiogram (TTE), during the procedure with a TEE and 2 days postoperatively with a TTE. Results All 173 patients experienced no change in tricuspid valve function during the procedure with TEE. Of the 53 patients who underwent a complete TI evaluation, 38 were males (72%) and 15 females (38%), with a mean age of 69.45 ± 14.08. Mean ejection fraction was 35.82 ± 14.72. Three (6%) patients experienced TI after the procedure (two mild and one severe, all with tricuspid valve endocarditis); 16 (30%) patients were found to have TI before LLE that returned to normal valve function during or after the procedure. Thirty-four (64%) patients did not experience any significant change of the tricuspid valve performance after LLE. Conclusion LLE was not associated with increased TI.

Original languageEnglish (US)
Pages (from-to)939-944
Number of pages6
JournalPACE - Pacing and Clinical Electrophysiology
Issue number8
StatePublished - Aug 2013
Externally publishedYes


  • artificial
  • implantable defibrillators
  • intraoperative complications
  • pacemaker
  • tricuspid insufficiency

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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