Right subclavian vein approach for selective left bundle branch pacing: A case report.
Xinhui PengLongfu JiangSujun ChenHaiming FengPublished in: Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc (2022)
We reported a 65-year-old man with symptomatic bradycardia caused by chronic atrial fibrillation who underwent pacemaker implantation by left bundle branch pacing (LBBP) via right subclavian vein (RSV) approach. A tricuspid valve annulus (TVA) angiography was performed, and a different connecting cable that can monitor electrocardiograms (ECG) and intracardiac electrograms (EGM) in real time was used during the process. By TVA angiography, we could easily find the ideal location of LBBP; a new connecting cable helped us avoid perforation and guide effective endpoint without the need to stop pacing. The case showed that it was feasible and safe to use the new method for LBBP through RSV route.
Keyphrases
- aortic valve
- cardiac resynchronization therapy
- optical coherence tomography
- mitral valve
- atrial fibrillation
- computed tomography
- aortic stenosis
- respiratory syncytial virus
- heart failure
- left atrial appendage
- left ventricular
- transcatheter aortic valve replacement
- respiratory tract
- left atrial
- catheter ablation
- percutaneous coronary intervention
- aortic dissection
- ejection fraction
- direct oral anticoagulants
- blood pressure
- coronary artery disease
- vena cava
- drug induced
- pulmonary embolism