Permanent His bundle pacing in patients with right atriomegaly: The value of different dedicated delivery sheaths.
His bundle pacing
atriomegaly
challenging implant
pacemaker
stylet-driven lead
Journal
Pacing and clinical electrophysiology : PACE
ISSN: 1540-8159
Titre abrégé: Pacing Clin Electrophysiol
Pays: United States
ID NLM: 7803944
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
revised:
13
02
2023
received:
17
01
2023
accepted:
07
03
2023
medline:
10
4
2023
pubmed:
15
3
2023
entrez:
14
3
2023
Statut:
ppublish
Résumé
An enlarged right atrium (RA) is a challenging anatomy that can limit the successful use of His bundle pacing (HBP). It is unknown whether new implantation tools could help overcome these challenges. Consecutive patients with RA volume index >25 mL/m The study cohort included 24 patients (median age 75.7 years [interquartile range, 70.9-79.0], 88% men) with a RA volume of 49 mL/m The availability of different dedicated delivery systems for HBP can improve procedural outcomes even in challenging circumstances, such as in patients with right atriomegaly.
Sections du résumé
BACKGROUND
An enlarged right atrium (RA) is a challenging anatomy that can limit the successful use of His bundle pacing (HBP). It is unknown whether new implantation tools could help overcome these challenges.
METHODS
Consecutive patients with RA volume index >25 mL/m
RESULTS
The study cohort included 24 patients (median age 75.7 years [interquartile range, 70.9-79.0], 88% men) with a RA volume of 49 mL/m
CONCLUSION
The availability of different dedicated delivery systems for HBP can improve procedural outcomes even in challenging circumstances, such as in patients with right atriomegaly.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
346-349Informations de copyright
© 2023 Wiley Periodicals LLC.
Références
Vijayaraman P, Chung MK, Dandamudi G, et al. Lakkireddy D; ACC's electrophysiology council. His bundle pacing. J Am Coll Cardiol. 2018;72:927-947.
Vijayaraman P, Ellenbogen KA. Approach to permanent His bundle pacing in challenging implants. Heart Rhythm. 2018;15:1428-1431.
Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2015;16:233-270.
Marinaccio L, Giacopelli D, Patrassi LA, Ginocchio G, Marchese D, Zanon F. Echo-guided choice of the appropriate primary curve width of a new delivery sheath for His bundle pacing. Pacing Clin Electrophysiol. 2021;44:1097-1101.
Ravi V, El Baba M, Sharma PS. His bundle pacing: tips and tricks. Pacing Clin Electrophysiol. 2021;44:26-34.