| Autor: |
Chokesuwattanaskul, Ronpichai, Tokavanich, Nithi, Srimahachota, Suphot |
| Předmět: |
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| Zdroj: |
Pacing & Clinical Electrophysiology; Jul2024, Vol. 47 Issue 7, p914-917, 4p |
| Abstrakt: |
An 80‐year‐old man with a history of complete heart block underwent dual chamber pacemaker implantation about a year ago. He returned to the hospital due to de novo heart failure caused by pacing‐induced cardiomyopathy; hence, we planned to upgrade his pacemaker to a biventricular device. The initial strategy was to perform left bundle branch area pacing‐optimized cardiac resynchronization therapy (LOT‐CRT) with left bundle branch area pacing (LBBAP) combined with a coronary sinus (CS) lead. In this challenging case, the successful placement of a CS lead was hindered by a complicated combination of a large CS body linked to the left superior vena cava and a winding CS branch. However, utilizing readily available tools, such as the coronary balloon and Guide Plus II ST catheter, proved instrumental in overcoming these obstacles. As a result, LOT‐CRT provided the patient with a safe alternative to surgical LV lead placement. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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