Incidence of Permanent Pacemaker Implantation Following Tricuspid Valve Surgeries: A Systematic Review and Meta-Analysis.

IF 1.7 Q2 SURGERY

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2026-05-01 Epub Date: 2026-06-16 DOI:10.1177/15569845261455899

Seyed Shervin Shafiei, Saeid Hosseini, Samuel Heuts, Abolfazl Hosseinnataj, Peyman Sardari Nia

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引用次数: 0

Abstract

Objective: Tricuspid valve (TV) surgery is increasingly performed. Still, the risk of permanent pacemaker (PPM) implantation following TV surgery is a serious concern. Therefore, the present systematic review and meta-analysis is aimed to determine the incidence of PPM implantation following TV surgeries in various surgical settings.

Methods: This study was preregistered in PROSPERO (CRD42024585421). A methodical search was performed across various international electronic databases. Random-effects models were used to illustrate the aggregated incidence of PPM implantation following different types of TV surgeries. Meta-regression and subgroup analysis were applied to evaluate the statistically significant effect of modifiers.

Results: Twelve studies were included; a total of 18,437 patients underwent TV surgery. The incidence of PPM implantation following overall TV surgery was 12.1% (P < 0.001), isolated TV surgery was 11.1% (P < 0.001), TV + mitral valve (MV) surgery was 12.3% (P < 0.001), TV + aortic valve (AV) surgery was 10.9% (P = 0.001), and TV + MV + AV surgery was 17.3% (P < 0.001).

Conclusions: PPM implantation is a common complication that can arise after TV surgery, especially when multiple valves are involved. Although substantial variability across studies makes it difficult to pinpoint exact risks, the overall message is clear: there is a need to focus on preoperative patient counseling and develop standardized research to improve our ability to predict and prevent these complications.

查看原文本刊更多论文

三尖瓣手术后永久起搏器植入的发生率：系统回顾和荟萃分析。

目的：三尖瓣（TV）手术越来越多。尽管如此，电视手术后植入永久起搏器（PPM）的风险是一个严重的问题。因此，本系统综述和荟萃分析旨在确定在不同手术环境下TV手术后PPM植入的发生率。方法：本研究在PROSPERO预注册（CRD42024585421）。对各种国际电子数据库进行了有条不紊的搜索。随机效应模型用于说明不同类型电视手术后PPM植入的总体发生率。采用Meta-regression和亚组分析评价修饰因子的显著性效果。结果：纳入12项研究；共有18437名患者接受了电视手术。整体TV手术后PPM植入的发生率为12.1% (P < 0.001)，孤立TV手术为11.1% (P < 0.001)， TV +二尖瓣（MV）手术为12.3% (P < 0.001)， TV +主动脉瓣（AV）手术为10.9% (P = 0.001)， TV + MV + AV手术为17.3% （P < 0.001）。结论：PPM植入术是电视手术后常见的并发症，尤其是涉及多个瓣膜时。尽管不同研究之间存在很大的差异，很难确定确切的风险，但总的信息是明确的：有必要关注术前患者咨询，并开展标准化研究，以提高我们预测和预防这些并发症的能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery SURGERY-

CiteScore

2.00

自引率

6.70%

发文量

期刊介绍： Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery is the first journal whose main mission is to disseminate information specifically about advances in technology and techniques that lead to less invasive treatment of cardiothoracic and vascular disease. It delivers cutting edge original research, reviews, essays, case reports, and editorials from the pioneers and experts in the field of minimally invasive cardiothoracic and vascular disease, including biomedical engineers. Also included are papers presented at the annual ISMICS meeting. Official Journal of the International Society for Minimally Invasive Cardiothoracic Surgery