Rapid Pacing Using the Guidewire During Transcatheter Tricuspid Valve in Valve Implantation

Transcatheter valve replacement is now widely used to treat high-risk patients.This approach is also expanding to the tricuspid valve, mostly for "valve-invalve" and "valve-in-ring" implantations.Rapid pacing during transcatheter valve implantation is used to reduce cardiac output and minimize the risk of valve dislodgement.Rapid pacing is usually done using the patient's permanent pacemaker or a temporary pacing electrode that is usually introduced retrogradely into the left ventricle or coronary sinus.Here, we describe the use of the tricuspid valve-in-valve implantation super-stiff guidewire for rapid pacing during implantation of the valve.This approach may obviate the need for ancillary steps that may increase procedure time, X-ray exposure, and risk of complications.