Real-time monitoring of right atrial current of injury facilitated safe and appropriate lead fixation in the Bachmann bundle region in a single case.
Case Report (n=1)
Does real-time monitoring of right atrial current of injury (COI) facilitate safe lead fixation in the Bachmann bundle region?
Real-time monitoring of right atrial current of injury may be a useful technique to ensure safe active lead fixation in the anatomically challenging Bachmann bundle region.
Abstract Bachmann bundle pacing has emerged as a strategy to preserve atrial synchrony and optimize interatrial conduction in atrial conduction delay or atrial fibrillation. However, the Bachmann bundle region is a narrow anatomical area near the aorta, making active lead fixation technically challenging and increasing the risk of perforation or aortic injury. Although the current of injury (COI) has been reported to increase after myocardial lead implantation1 and is commonly used to assess ventricular lead fixation, its role during Bachmann bundle lead fixation remains unclear. In the present case, we report real-time monitoring of right atrial COI during safe and appropriate lead fixation in the Bachmann bundle region.
Ikee et al. (Wed,) conducted a case report in Atrial conduction delay or atrial fibrillation (n=1). Real-time monitoring of right atrial current of injury (COI) was evaluated on Safe and appropriate lead fixation. Real-time monitoring of right atrial current of injury facilitated safe and appropriate lead fixation in the Bachmann bundle region in a single case.