1. Insertion of an active fixation lead in the inferior interatrial septum via a 9.0 Fr guiding catheter
- Author
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Shumpei Mori, MD, Kiyoshi Otomo, MD, Norichika Osai, MD, Kaname Takizawa, MD, Tatsushi Otomo, MD, Naoto Inoue, MD, Taiichiro Meguro, MD, and Ken-ichi Hirata, MD
- Subjects
Active fixation ,Inferior interatrial septum ,Guiding catheter ,Stylet ,Atrial fibrillation ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - 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.
- Published
- 2014
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