Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2957747 | Journal of Arrhythmia | 2014 | 4 Pages |
Abstract
Placing an atrial lead in the inferior interatrial septum (IAS) reportedly reduces the incidence of paroxysmal atrial fibrillation (AF) and slows the progression to chronic AF; however, in certain cases, inferior IAS pacing is technically difficult. When this procedure is unsuccessful, insertion of the lead in the right atrial appendage can be considered, but it is associated with a risk of cardiac perforation. Here, we describe a technique for lead insertion in the inferior IAS via a 9.0 Fr guiding catheter, which may serve as an alternative technique for inferior IAS pacing when the conventional stylet-guided insertion is not successful.
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Authors
Shumpei Mori, Kiyoshi Otomo, Norichika Osai, Kaname Takizawa, Tatsushi Otomo, Naoto Inoue, Taiichiro Meguro, Ken-ichi Hirata,