Case report illustrates successful RV lead placement using the alpha loop technique in a patient post cardiac surgery, suggesting improved outcomes.
Right ventricular (RV) lead implantation can be technically challenging, particularly in patients with anatomical variations or a history of cardiac surgery. Innovative lead placement techniques may be required to achieve successful outcomes in such cases. We report the case of an 84‐year‐old male with a history of degenerative complete heart block and prior cardiac implantable electronic device (CIED) infection, who required re‐implantation. Due to a dilated right atrium, RV endocardial lead placement was performed using an alpha loop configuration. This approach enabled successful navigation through complex right atrial (RA) anatomy and stable lead positioning.
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Nema et al. (2025) studied this question.
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