His-Bundle Pacing in a Patient With Tricuspid and Mitral Prosthetic Valves Without Suitable Coronary Veins for Lead Placement

Atrioventricular block in patients with a prosthetic tricuspid valve and a pacemaker with a dysfunctional epicardial lead is not uncommon. In such instances, coronary sinus lead placement is the preferred option, but it has a failure rate of 10%-15%. An atrial transseptal left ventricular lead place...

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Autores principales: Ramos-Maqueda, Javier, Cabrera-Ramos, Mercedes, Southard, Nicole, Riaño-Ondiviela, Adrián, Casasnovas-Lenguas, José Antonio, Ruiz-Arroyo, José Ramón
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8413232/
https://www.ncbi.nlm.nih.gov/pubmed/34505048
http://dx.doi.org/10.1016/j.cjco.2021.03.012
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author Ramos-Maqueda, Javier
Cabrera-Ramos, Mercedes
Southard, Nicole
Riaño-Ondiviela, Adrián
Casasnovas-Lenguas, José Antonio
Ruiz-Arroyo, José Ramón
author_facet Ramos-Maqueda, Javier
Cabrera-Ramos, Mercedes
Southard, Nicole
Riaño-Ondiviela, Adrián
Casasnovas-Lenguas, José Antonio
Ruiz-Arroyo, José Ramón
author_sort Ramos-Maqueda, Javier
collection PubMed
description Atrioventricular block in patients with a prosthetic tricuspid valve and a pacemaker with a dysfunctional epicardial lead is not uncommon. In such instances, coronary sinus lead placement is the preferred option, but it has a failure rate of 10%-15%. An atrial transseptal left ventricular lead placement has been proposed as an alternative, but this approach is not feasible in patients with a prosthetic mitral valve. This analysis represents the first reported case of His-bundle pacing from the atria in a patient with prosthetic tricuspid and mitral valves, with no suitable coronary veins for lead placement.
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spelling pubmed-84132322021-09-08 His-Bundle Pacing in a Patient With Tricuspid and Mitral Prosthetic Valves Without Suitable Coronary Veins for Lead Placement Ramos-Maqueda, Javier Cabrera-Ramos, Mercedes Southard, Nicole Riaño-Ondiviela, Adrián Casasnovas-Lenguas, José Antonio Ruiz-Arroyo, José Ramón CJC Open Case Report Atrioventricular block in patients with a prosthetic tricuspid valve and a pacemaker with a dysfunctional epicardial lead is not uncommon. In such instances, coronary sinus lead placement is the preferred option, but it has a failure rate of 10%-15%. An atrial transseptal left ventricular lead placement has been proposed as an alternative, but this approach is not feasible in patients with a prosthetic mitral valve. This analysis represents the first reported case of His-bundle pacing from the atria in a patient with prosthetic tricuspid and mitral valves, with no suitable coronary veins for lead placement. Elsevier 2021-04-08 /pmc/articles/PMC8413232/ /pubmed/34505048 http://dx.doi.org/10.1016/j.cjco.2021.03.012 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Ramos-Maqueda, Javier
Cabrera-Ramos, Mercedes
Southard, Nicole
Riaño-Ondiviela, Adrián
Casasnovas-Lenguas, José Antonio
Ruiz-Arroyo, José Ramón
His-Bundle Pacing in a Patient With Tricuspid and Mitral Prosthetic Valves Without Suitable Coronary Veins for Lead Placement
title His-Bundle Pacing in a Patient With Tricuspid and Mitral Prosthetic Valves Without Suitable Coronary Veins for Lead Placement
title_full His-Bundle Pacing in a Patient With Tricuspid and Mitral Prosthetic Valves Without Suitable Coronary Veins for Lead Placement
title_fullStr His-Bundle Pacing in a Patient With Tricuspid and Mitral Prosthetic Valves Without Suitable Coronary Veins for Lead Placement
title_full_unstemmed His-Bundle Pacing in a Patient With Tricuspid and Mitral Prosthetic Valves Without Suitable Coronary Veins for Lead Placement
title_short His-Bundle Pacing in a Patient With Tricuspid and Mitral Prosthetic Valves Without Suitable Coronary Veins for Lead Placement
title_sort his-bundle pacing in a patient with tricuspid and mitral prosthetic valves without suitable coronary veins for lead placement
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8413232/
https://www.ncbi.nlm.nih.gov/pubmed/34505048
http://dx.doi.org/10.1016/j.cjco.2021.03.012
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