Insertion of an active fixation lead in the inferior interatrial septum via a 9.0 Fr guiding catheter

Shumpei Mori, MD; Kiyoshi Otomo, MD; Norichika Osai, MD; Kaname Takizawa, MD; Tatsushi Otomo, MD; Naoto Inoue, MD; Taiichiro Meguro, MD; Ken-ichi Hirata, MD

doi:10.1016/j.joa.2013.07.005

Journal of Arrhythmia (Apr 2014)

Insertion of an active fixation lead in the inferior interatrial septum via a 9.0 Fr guiding catheter

Shumpei Mori, MD,
Kiyoshi Otomo, MD,
Norichika Osai, MD,
Kaname Takizawa, MD,
Tatsushi Otomo, MD,
Naoto Inoue, MD,
Taiichiro Meguro, MD,
Ken-ichi Hirata, MD

Affiliations

Shumpei Mori, MD: Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan
Kiyoshi Otomo, MD: Division of Cardiology, Cardiovascular Center, Sendai Kousei Hospital, Sendai, Japan
Norichika Osai, MD: Division of Cardiology, Cardiovascular Center, Sendai Kousei Hospital, Sendai, Japan
Kaname Takizawa, MD: Division of Cardiology, Cardiovascular Center, Sendai Kousei Hospital, Sendai, Japan
Tatsushi Otomo, MD: Division of Cardiology, Cardiovascular Center, Sendai Kousei Hospital, Sendai, Japan
Naoto Inoue, MD: Division of Cardiology, Cardiovascular Center, Sendai Kousei Hospital, Sendai, Japan
Taiichiro Meguro, MD: Division of Cardiology, Cardiovascular Center, Sendai Kousei Hospital, Sendai, Japan
Ken-ichi Hirata, MD: Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan

DOI: https://doi.org/10.1016/j.joa.2013.07.005
Journal volume & issue: Vol. 30, no. 2
pp. 123 – 126

Abstract

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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 in Journal of Arrhythmia

ISSN: 1880-4276 (Print); 1883-2148 (Online)
Publisher: Wiley
Country of publisher: Australia
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://onlinelibrary.wiley.com/journal/18832148

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