Left subclavian approach for ablation of persistent left superior vena cava in a patient with cardiac resynchronization therapy: a case report

Persistent left superior vena cava (PLSVC) causes arrhythmogenicity in atrial fibrillation (AF). However, in patients with cardiac resynchronization therapy (CRT), PLSVC ablation through the coronary sinus (CS) risks left ventricular (LV) lead dislodgement.
Source: Europace - Category: Cardiology Source Type: research

Related Links:

ConclusionThis analysis from the European CRT Survey II overall shows good guideline adherence, high implantation success and a low rate of complications in daily practice. There are some regional differences in baseline characteristics, CRT indication, and procedural aspects. The use of remote monitoring in Germany lags behind other European countries.Graphic abstract
Source: Clinical Research in Cardiology - Category: Cardiology Source Type: research
Abstract Permanent His bundle pacing (HBP) activates the ventricles through the normal conduction system and has become a useful technique for patients with a high ventricular pacing rate. Presently described is a case of drug-refractory atrial fibrillation (AF) with a high ventricular rate that was treated with atrioventricular (AV) node ablation and permanent HBP. A 62-year-old woman with persistent AF and a drug-refractory high ventricular response was referred for exercise intolerance and palpitation. She had a history of failed catheter ablation attempts and amiodarone toxicity. Permanent HBP and AV node abla...
Source: Turk Kardiyoloji Dernegi arsivi - Category: Cardiology Authors: Tags: Turk Kardiyol Dern Ars Source Type: research
CONCLUSIONS: Reactive ATP successfully and safely reduced AF burden, and was associated with a lower incidence of HF hospitalization in patients implanted with CRT devices. PMID: 31672258 [PubMed - as supplied by publisher]
Source: Journal of Cardiology - Category: Cardiology Authors: Tags: J Cardiol Source Type: research
Publication date: Available online 5 October 2019Source: Canadian Journal of CardiologyAuthor(s): Blandine Mondésert, Krishnakumar Nair, Christopher J. McLeod, Paul KhairyAbstractArrhythmias are a leading cause of morbidity in adults with congenital heart disease (CHD). Numerous challenges to managing arrhythmias include vascular access issues, intracardiac shunts, unconventional locations of the conduction system, and anatomical complexities. Technological advances are improving our ability to diagnose and treat arrhythmias. Implantable loop recorders and various technologies developed for consumers to record elect...
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research
ConclusionThis new upgrading technique allows efficient cardiac resynchronization therapy in leadless pacemaker patients, while preventing tricuspid valve crossing and providing an increased battery longevity.This article is protected by copyright. All rights reserved.
Source: Journal of Cardiovascular Electrophysiology - Category: Cardiology Authors: Tags: INNOVATIVE TECHNIQUES Source Type: research
Conclusions: PR prolongation predicts shorter survival free of heart transplantation or LVAD implantation in patients with LBBB. This may be due to inadequate ventricular resynchronization.This article is protected by copyright. All rights reserved
Source: Pacing and Clinical Electrophysiology : PACE - Category: Cardiology Authors: Tags: DEVICES Source Type: research
In patients with cardiac resynchronization therapy (CRT), atrial fibrillation (AF) is associated with an unfavorable outcome and may cause loss of biventricular pacing (BivP). An effective delivery of BivP of ...
Source: BMC Cardiovascular Disorders - Category: Cardiology Authors: Tags: Research article Source Type: research
Conclusion We found that remote monitoring as compared with conventional in-hospital visits may contribute to a better outcome in CIED recipients who had suffered from an ischemic cerebral event.
Source: Journal of Cardiovascular Medicine - Category: Cardiology Tags: Research articles: Telemonitoring Source Type: research
AbstractIntroductionSeveral single center short ‐term studies have demonstrated the feasibility, safety and positive clinical outcomes of Permanent His bundle pacing (HBP). We performed a retrospective study to evaluate long‐term technical and safety performances of HBP in a large population of pacemaker patients from two different centers.Methods and ResultsThe analysis includes 844 patients (345female, mean age=75 ±9 years) who underwent successful permanent HBP for pacemaker indications from 2004 to 2016. The main endpoints were long term electrical performances including pacing threshold, sensing, impedance ...
Source: Journal of Cardiovascular Electrophysiology - Category: Cardiology Authors: Tags: PHYSIOLOGIC PACING Source Type: research
Conclusions. Patients in AF or SR undergoing CRT demonstrated distinct benefits from device implantation and from HIIT as an adjunctive therapeutic strategy. This suggests that both mainstay and adjunctive therapeutics may need to be managed differently in patients in AF and SR. PMID: 31221002 [PubMed - as supplied by publisher]
Source: Scandinavian Cardiovascular Journal - Category: Cardiology Tags: Scand Cardiovasc J Source Type: research
More News: Atrial Fibrillation | Cardiac Resynchronization Therapy | Cardiology