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

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Presentation transcript:

Simultaneous atrioventricular node ablation and leadless pacemaker implantation Jeffrey Ho, MD, Jordan M. Prutkin, MD, MHS, FHRS HeartRhythm Case Reports Volume 3, Issue 3, Pages 186-188 (March 2017) DOI: 10.1016/j.hrcr.2016.12.007 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 Multiple sheath assembly with the 27F Medtronic sheath (Minneapolis, MN; solid arrow),14F short sheath (dotted arrow), 8F sheath (hashed arrow), and 4.0-mm nonirrigated ablation catheter (arrowhead). The access site has been preclosed with a figure-of-8 suture and with a hemostat securing the ends of the suture. HeartRhythm Case Reports 2017 3, 186-188DOI: (10.1016/j.hrcr.2016.12.007) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 A: Signal on the ablation catheter prior to starting ablation, with arrow pointing to His electrogram (100 mm/s). B: Radiofrequency ablation and development of complete heart block with ventricular pacing at VVI 60 beats per minute (25 mm/s speed). HeartRhythm Case Reports 2017 3, 186-188DOI: (10.1016/j.hrcr.2016.12.007) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 3 Right anterior oblique (RAO) fluoroscopic image of the ablation catheter in the His position (arrowhead) and Micra (Medtronic, Minneapolis, MN) deployed in the mid right ventricular septum (solid arrow). HeartRhythm Case Reports 2017 3, 186-188DOI: (10.1016/j.hrcr.2016.12.007) Copyright © 2017 Heart Rhythm Society Terms and Conditions