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

Abstract

IntroductionThis 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.Methods and ResultsA 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.ConclusionHBP is effective for patients with TriClip devices, ensuring optimal cardiac function and lead stability.