His-bundle pacing from the right atrium: Solving pacemaker implantation challenges post-TriClip.

His‐bundle pacing TriClip conduction system pacing pacemaker tricuspid regurgitation

Journal

Journal of cardiovascular electrophysiology
ISSN: 1540-8167
Titre abrégé: J Cardiovasc Electrophysiol
Pays: United States
ID NLM: 9010756

Informations de publication

Date de publication:
10 Sep 2024
Historique:
revised: 22 08 2024
received: 24 07 2024
accepted: 01 09 2024
medline: 11 9 2024
pubmed: 11 9 2024
entrez: 11 9 2024
Statut: aheadofprint

Résumé

This case report highlights the novel role of His-bundle pacing (HBP) from right atrium, not just for preserving cardiac function, but also for avoiding interference with TriClip devices. A 78-year-old female with severe tricuspid regurgitation received two TriClip devices. Postprocedure, frequent significant sinus pauses required a pacemaker. HBP was chosen to avoid lead complications. Under local anesthesia, a His pacing lead was inserted via the axillary vein using specialized catheter. Follow-ups over 2.5 years showed stable parameters with no complications. HBP is effective for patients with TriClip devices, ensuring optimal cardiac function and lead stability.

Identifiants

pubmed: 39256904
doi: 10.1111/jce.16431
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 The Author(s). Journal of Cardiovascular Electrophysiology published by Wiley Periodicals LLC.

Références

Vitali F, Malagù M, Mele D, Rapezzi C, Bertini M. First case of pacemaker implantation in a patient with previous percutaneous edge‐to‐edge tricuspid valve repair. HeartRhythm Case Rep. 2022;8(2):133‐136. doi:10.1016/j.hrcr.2021.11.015
Tuohinen S, Aro A, Karvonen J. Trans‐oesophageal echocardiography‐guided implantation of a cardiac resynchronization therapy pacemaker and successful ablation of the atrioventricular node after TriClip: case report. Eur Heart J Case Rep. 2023;7(11):1‐5. doi:10.1093/ehjcr/ytad494
Vijayaraman P, Chung MK, Dandamudi G, et al. His bundle pacing. J Am Coll Cardiol. 2018;72(8):927‐947. doi:10.1016/j.jacc.2018.06.017
Burri H, Jastrzebski M, Cano Ó, et al. EHRA clinical consensus statement on conduction system pacing implantation: executive summary. Endorsed by the Asia‐Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS) and Latin‐American Heart Rhythm Society (LAHRS). EP Europace. 2023;25(4):1237‐1248. doi:10.1093/europace/euad044
Onishi Y, Barengo A, Fioravanti F, et al. Successful left bundle branch area pacing in a patient with three TriClip devices. J Interv Card Electrophysiol. 2024;Epub ahead of print. PMID: 38995605. Jul 12 doi:10.1007/s10840-024-01875-y
Gu M, Niu H, Hu Y, et al. Permanent his bundle pacing implantation facilitated by visualization of the tricuspid valve annulus. Circ Arrhythm Electrophysiol. 2020;13(10):e837. doi:10.1161/CIRCEP.120.008370
Fuentes Rojas SC, Schurmann PA, Rodríguez‐Mañero M, Lustgarten D, Valderrábano M. Permanent His‐bundle pacing from the right atrium in patients with prosthetic tricuspid valve. HeartRhythm Case Rep. 2019;5(5):244‐246. doi:10.1016/j.hrcr.2019.01.009

Auteurs

Yoshimi Onishi (Y)

Cardiac Electrophysiology and Clinical Arrhythmology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Department of Medicine, Division of Cardiology, Showa University School of Medicine, Tokyo, Japan.

Alberto Barengo (A)

Cardiac Electrophysiology and Clinical Arrhythmology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Francesco Fioravanti (F)

Cardiac Electrophysiology and Clinical Arrhythmology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Lorenzo Rampa (L)

Cardiac Electrophysiology and Clinical Arrhythmology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Gabriele Paglino (G)

Cardiac Electrophysiology and Clinical Arrhythmology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Paolo Della Bella (P)

Cardiac Electrophysiology and Clinical Arrhythmology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Classifications MeSH