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

Published byJonatan Ingvaldsen Modified over 5 years ago

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Presentation on theme: "Successful Leadless Pacemaker Deployment in a Patient with Challenging Right Heart Anatomy using a Double Snare Technique  Daniel Alyesh, MD, Ryan Cunnane,"— Presentation transcript:

1 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: /j.hrcr Copyright © 2018 Heart Rhythm Society Terms and Conditions

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

3 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: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

4 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: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

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