Successful application of snare-kissing-catheter technique to implant leadless pacemaker in severely dilated right heart
Successful application of snare-kissing-catheter technique to implant leadless pacemaker in severely dilated right heart
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DOI：
10.1111/pace.14173
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发表时间：
2021-02-23
影响因子：
1.8
通讯作者：
He, Ben
中科院分区：
文献类型：
--
作者：
Huang, Jingjuan;Zhang, Weiwei;He, Ben
与传统心脏起搏器相比，在结构正常的心脏中植入无铅起搏器是有效和安全的。然而，无导线起搏器在严重右心增大患者中的应用经验仍然有限。我们提出一个罕见的病例患者巨大的右心脏和中度至重度三尖瓣反流植入无铅Micra经导管心脏起搏器系统。在适当的右心室起搏位置近端放置单环诱捕器，可以改善Micra输送导管的延伸。圈套吻导管技术可以帮助成功部署设置具有挑战性的右心扩大。
Implantation of leadless pacemaker is efficacy and safety compared with the traditional pacemaker in structurally normal hearts. However, delivery experience of leadless pacemaker in patients with severe right heart enlargement remains limited. We present the rare case of a patient with giant right heart and moderate to severe tricuspid regurgitation implanted with a leadless Micra transcatheter pacemaker system. The extension of the Micra delivery catheter can be improved by using a single-loop snare on the catheter proximal to appropriate right ventricle (RV) pacing position. The snare-kissing-catheter technique can aid in successful deployment in the setting of challenging right heart enlargement.