Left bundle branch area pacing in a patient with Ebstein’s anomaly from a functional right atrium using the sheath-in-sheath technique

Yoshimoto, Daisuke; Sakamoto, Yuichiro; Yamaguchi, Ryo; Naganawa, Hirokazu; Suzuki, Tohru

doi:10.1016/j.hrcr.2023.02.008

Cited by 1 publication

(2 citation statements)

References 11 publications

(14 reference statements)

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“…Conduction system pacing, whether through His bundle pacing (HBP) or left bundle branch area pacing (LBBA), is feasible in EA [ 49 , 50 ]. His bundle pacing can be challenging due to signals often being observed in the atrialised portion of the ventricles.…”

Section: Pacingmentioning

confidence: 99%

“…The use of a 9F coronary sinus (CS) left ventricular (LV) lead delivery outer sheath (Medtronic Attain Command MB2; Medtronic Inc.) can aid in providing sufficient backup to the standard A C315 His delivery sheath (Medtronic Inc., Minneapolis, MN). This ensures deep lead fixation in the atrial side of the septum near the septal tricuspid leaflet in the atrialised right ventricle [ 50 ].…”

Section: Pacingmentioning

confidence: 99%

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Ebstein’s anomaly: an electrophysiological perspective

Gupta,

Prabhu,

Anderson

et al. 2024

J Interv Card Electrophysiol

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Ebstein’s anomaly of the tricuspid valve (EA) is an uncommon congenital cardiac malformation. It can present with atrioventricular tachycardia (AVRT), atrioventricular nodal re-entrant tachycardia (AVNRT), atrial arrhythmias, and rarely with ventricular tachycardia. The 12-lead electrocardiogram (ECG) is critically important and often diagnostic even prior to an electrophysiology study (EPS). Due to its complex anatomy, it poses particular challenges for mapping and ablation, even for an experienced electrophysiologist. In this review, we aim to provide insight into the electrophysiological perspective of EA and an in-depth analysis of the various arrhythmias encountered in diverse clinical scenarios. Graphical Abstract

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Section: Pacingmentioning

confidence: 99%

Section: Pacingmentioning

confidence: 99%