Successful Leadless Pacemaker Deployment in a Patient with Challenging Right Heart Anatomy using a Double Snare Technique Daniel Alyesh, MD, Ryan Cunnane,

Slides:

Advertisements

Similar presentations

Epicardial access and ventricular tachycardia ablation in a postmyocarditis patient using a nonfluoroscopic catheter visualization system Akiko Ueda,

Advertisements

Central venous catheter fracture during pacemaker lead extraction

Successful use of bivalirudin in place of heparin infusion for pulmonary vein isolation using a cryoballoon catheter in a patient with heparin allergy

MediGuide-assisted atrial flutter ablation in a patient with a HeartMate II left ventricular assist device Hien Kiem Nguyen Thanh, MD, Jason Andrade,

Role of intracardiac echocardiography for guiding ablation of tricuspid valve arrhythmias Andres Enriquez, MD, Carlos Tapias, MD, Diego Rodriguez, MD,

HeartRhythm Case Reports

Henry C. Quevedo, MD, Georges Khoueiry, MD HeartRhythm Case Reports

HeartRhythm Case Reports

Jayasheel Eshcol, MD, Alan P. Wimmer, MD, FHRS

Central venous catheter fracture during pacemaker lead extraction

Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach

Premature ventricular contraction–induced polymorphic ventricular tachycardia after leadless pacemaker implantation: A unique adverse effect of leadless.

Management of a superinfected pyoderma gangrenosum after pacemaker implant Halim Marzak, MD, Jean-Jacques Von Hunolstein, MD, Dan Lipsker, MD, PhD, Michel.

Cardiac resynchronization therapy device implantation guided by electroanatomic mapping system when contrast medium infusion is contraindicated Vittorio.

Implantation of a cardiac resynchronization therapy device using the anchor balloon technique in a patient with a tortuous coronary sinus branch Yu Kumagai,

Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy

A case of paroxysmal atrioventricular block–induced cardiac arrest

To the Editor— Leftward on left anterior oblique is not always septal!

Retrieval of a transcatheter pacemaker in sheep after a mid-term implantation time Maria Grazia Bongiorni, MD, Luca Segreti, MD, Andrea Di Cori, MD, Matthew.

Cardiac inflammation and ventricular tachycardia in Chagas disease

Spontaneous regression of submitral pseudoaneurysm after radiofrequency catheter ablation in a patient with Wolff-Parkinson-White syndrome Dongmin Kim,

Preferential properties with decremental conduction of the Marshall vein between the coronary sinus and left superior pulmonary vein Toshiya Kurotobi,

Isolated Wolff-Parkinson-White syndrome in identical twins

HeartRhythm Case Reports

Rapidly formed right ventricular thrombus detected by intracardiac echocardiography before catheter ablation in a case of arrhythmogenic right ventricular.

Fracture and retrieval of an Achieve circular mapping catheter in and from a pulmonary vein during cryoballoon ablation for atrial fibrillation Richard.

“Closing the loop” on palpitations

Pseudo typical atrial flutter occurring after cavotricuspid isthmus ablation in a patient with a prior history of Senning operation Naoki Yoshida, MD,

Left axillary active can positioning markedly reduces defibrillation threshold of a transvenous defibrillator failing to defibrillate at maximum output

Anthony C. McCanta, MD, FHRS, Gira S

Daniel P. Morin, MD, MPH, FACC, FHRS HeartRhythm Case Reports

Right ventricular lead perforation through the septum, left ventricle, and pleura, managed by an open surgical approach Alexander Iribarne, MD, MS, Rajbir.

Cavotricuspid isthmus ablation using multimodality imaging in Ebstein anomaly with a mechanical tricuspid valve replacement Sang Hyun Lee, MD, Hyung.

Jeffrey Ho, MD, Jordan M. Prutkin, MD, MHS, FHRS

Termination of anticoagulation therapy at 45 days after concomitant atrial fibrillation catheter ablation and left atrial appendage occlusion resulting.

Christian Steinberg, MD, Danny Dvir, MD, Andrew D

Sing-Chien Yap, MD, PhD, Corstiaan A

Percutaneous electrosurgical technique for treatment of subclavian vein occlusion: Application of transcaval techniques Jason R. Foerst, MD, David Kim,

Single-catheter validation of bidirectional block during atrial flutter ablation Piotr Futyma, MD, Marian Futyma, MD, PhD, Konrad Dudek, MD, Piotr Kułakowski,

Epicardial access and ventricular tachycardia ablation in a postmyocarditis patient using a nonfluoroscopic catheter visualization system Akiko Ueda,

An unusual approach to intractable AVNRT in a pediatric patient

Stephen A. Howard, PhD, Ryan P. Goff, PhD, David G

A case series and review of the literature regarding coronary artery complications associated with coronary sinus catheter ablation Paul J. Garabelli,

Successful use of bivalirudin in place of heparin infusion for pulmonary vein isolation using a cryoballoon catheter in a patient with heparin allergy

Progressive electrical remodeling in apical hypertrophic cardiomyopathy leading to implantable cardioverter-defibrillator sensing failure during ventricular.

Cryoballoon pulmonary vein isolation and voltage mapping for symptomatic atrial fibrillation 9 months after Watchman device implantation Henry D. Huang,

Adam J. Small, MD, Eric F. Buch, MD, FHRS, FACC, Daniel R

Successful atrioventricular junction ablation in a patient with situs inversus with dextrocardia and complex venous anatomy Iosif Kelesidis, MD, MSc,

A transseptal puncture hazard that was close!

Peter Kabunga, MBChB, MRCP, George J. Klein, MD, FHRS, Raymond W

Combined use of TandemHeart percutaneous ventricular assist device and Stereotaxis magnetic navigation during cardiac ablation procedure Andrew C. Miller,

Successful retrieval of a broken circular mapping catheter after entrapment in the tricuspid valve apparatus Qun-Shan Wang, Peng-Pai Zhang, Da-Xin Zhou,

Successful ventricular tachycardia ablation in a patient with a biventricular ventricular assist device and heparin-induced thrombocytopenia using bivalirudin

Unusual fracture in a Durata lead with shock coil fragmentation and cable externalization Toshiaki Sato, MD, Kyoko Soejima, MD, Hideaki Yoshino, MD,

CT-fusion–guided transseptal puncture in a patient with atrial fibrillation and absent right superior vena cava Felix Bourier, MD, Sonia Ammar, MD, Tilko.

Extraction of a Micra Transcatheter Pacing System: First-in-human experience Saima Karim, DO, Medhat Abdelmessih, MD, Mark Marieb, MD, FHRS, Eric Reiner,

Raja Zaghlol, MD, Rama Hritani, MD, Susan O’Donoghue, MD

Successful interventional management of catastrophic coronary arterial air embolism during atrial fibrillation ablation Khurram Ahmad, MD, Samuel Asirvatham,

Overcoming an impossible anatomy with a novel left ventricular active fixation lead in the coronary sinus: A case report Gabriele Giannola, MD, PhD,

Nanostim leadless pacemaker system: A longer waiting period after active fixation may reduce unnecessary repositioning Hiro Kawata, MD, PhD, Pranav M.

Philip M. Chang, MD, FHRS, CEPS, Rahul N. Doshi, MD, FHRS, FACC

Double devices: Dysfunction or not?

Potential compression neuropathy of the femoral nerve caused by the delivery sheath of a transcatheter leadless pacemaker Masako Baba, MD, Kentaro Yoshida,

High-power bipolar ablation for incessant ventricular tachycardia utilizing a deep midmyocardial septal circuit William H. Sauer, MD, FHRS, David A.

Use of topical lidocaine in eliminating mechanically stimulated ventricular fibrillation in a patient with short QT syndrome Maria J. Farag, BS, Joseph.

Percutaneous epicardial cryoablation of idiopathic premature ventricular contractions near the left anterior descending artery Victor A. Abrich, MD,

Radiofrequency ablation–assisted extraction of a pacing lead fragment

Atrial fibrillation ablation with persistent left superior vena cava detected during intracardiac echocardiography Victor A. Abrich, MD, Jeffrey Munro,

Chance M. Witt, MD, Samuel J. Asirvatham, MD, FHRS, Carole A

HeartRhythm Case Reports

Presentation transcript:

Successful Leadless Pacemaker Deployment in a Patient with Challenging Right Heart Anatomy using a Double Snare Technique Daniel Alyesh, MD, Ryan Cunnane, MD HeartRhythm Case Reports DOI: 10.1016/j.hrcr.2018.11.011 Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 1 Apical transthoracic echocardiography imaging demonstrating right heart enlargement. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2018.11.011) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 2 Mock-up of two goose neck snares deployed onto the shaft of the Micra delivery system prior to insertion (A), insertion into the delivery sheath pre-loaded (B), the proximal aspect of the snares remain accessible for adjustment and traction (C), snares exiting the introducer sheath along with the delivery catheter and pacing capsule (D). HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2018.11.011) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 3 Fluoroscopic right anterior oblique images of the Micra™ delivery catheter and snare apparatus in the heart. Traction on the snares alters the shape of the delivery catheter allowing for a longer reach (A). Contrast injection demonstrating apical septal positioning of the device (B). HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2018.11.011) Copyright © 2018 Heart Rhythm Society Terms and Conditions