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

IF 2.6 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiovascular Electrophysiology Pub Date : 2024-09-10 DOI:10.1111/jce.16431

Yoshimi Onishi MD, PhD, Alberto Barengo MD, Francesco Fioravanti MD, Lorenzo Rampa MD, Gabriele Paglino MD, Paolo Della Bella MD

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Abstract

Introduction

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.

Methods and Results

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.

Conclusion

HBP is effective for patients with TriClip devices, ensuring optimal cardiac function and lead stability.

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右心房 His-bundle 起搏：解决三夹式起搏器植入术后的难题

导言本病例报告强调了从右心房进行 His-bundle 起搏（HBP）的新作用，它不仅能保护心脏功能，还能避免与 TriClip 装置发生干扰。术后经常出现明显的窦性停搏，需要安装起搏器。为了避免导联并发症，她选择了 HBP。在局部麻醉下，使用专用导管通过腋静脉插入 His 起搏导联。结论 HBP 对使用 TriClip 装置的患者很有效，能确保最佳的心脏功能和导联稳定性。

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

Journal of Cardiovascular Electrophysiology 医学-心血管系统

CiteScore

5.20

自引率

14.80%

发文量

433

审稿时长

3-6 weeks

期刊介绍： Journal of Cardiovascular Electrophysiology (JCE) keeps its readership well informed of the latest developments in the study and management of arrhythmic disorders. Edited by Bradley P. Knight, M.D., and a distinguished international editorial board, JCE is the leading journal devoted to the study of the electrophysiology of the heart.