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. 2023 Dec 14;45(5):346–365. doi: 10.1093/eurheartj/ehad783

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© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

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Examples of valve-sparing pacing strategies in the context of transcatheter tricuspid valve replacement. (A) Pre-emptive implantation of a LCPM before transcatheter tricuspid valve replacement with the EVOQUE system in a patient with a complete atrioventricular block during right heart catheterization. The position of the LCPM needs to be carefully chosen; (B) transoesophageal echocardiography guiding of coronary sinus lead implantation (white arrow) after transcatheter tricuspid valve replacement with the LUX valve; (C) sinus angiography highlighting potential interaction between the bioprosthesis and the coronary sinus; and (D) final pacemaker lead (white arrow) placement into the coronary sinus. CS, coronary sinus.