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Successful application of snare‐kissing‐catheter technique to implant leadless pacemaker in severely dilated right heart
Author(s) -
Huang Jingjuan,
Zhang Weiwei,
Pan Xin,
Ma Lan,
Guo Lina,
Li Ruogu,
He Ben
Publication year - 2021
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.14173
Subject(s) - medicine , ventricle , catheter , implant , cardiology , right heart , tricuspid valve , regurgitation (circulation) , surgery
Implantation of leadless pacemaker is efficacy and safety compared with the traditional pacemaker in structurally normal hearts. However, delivery experience of leadless pacemaker in patients with severe right heart enlargement remains limited. We present the rare case of a patient with giant right heart and moderate to severe tricuspid regurgitation implanted with a leadless Micra transcatheter pacemaker system. The extension of the Micra delivery catheter can be improved by using a single‐loop snare on the catheter proximal to appropriate right ventricle (RV) pacing position. The snare‐kissing‐catheter technique can aid in successful deployment in the setting of challenging right heart enlargement.