2026 HRS/AHA/APHRS/EHRA/IDSA/LAHRS/PACES/STS Expert Consensus Statement Update on Cardiovascular Implantable Electronic Device Lead Management and Extraction (IMAGE)
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A new global consensus statement published in Heart Rhythm establishes a blueprint for holistic cardiac device implantable electronic (CIED) lead management and more tailored treatment options for patients. This image depicts the right ventricular lead positioning relative to the tricuspid valve. (A) Placement of leads on the right ventricular septum (versus apical pacing) has not been associated with worsening tricuspid regurgitation. (B) When implanting leads for left bundle branch area pacing, a shorter lead to tricuspid annulus distance can result in more tricuspid regurgitation.
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Heart Rhythm / Cha et al.
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