Key result
Leadless pacemaker deployment using a double snare technique was successfully performed in a patient with challenging right heart anatomy.
Why the study?
Very large right heart anatomy may make it difficult to successfully deploy a leadless pacemaker using the standard delivery system.
Case Report (n=1)
A double snare technique can safely and effectively improve the reach of the delivery system for leadless pacemaker deployment in patients with enlarged right heart anatomy.
May aid leadless pacemaker deployment in select challenging anatomies; hypothesis-generating and requires prospective validation before wider use.
Key Teaching Points•Very large right heart anatomy may make it difficult to successfully deploy a leadless pacemaker using the standard delivery system.•Gooseneck snares placed over the delivery system and through the sheath is a safe and effective method of improving the reach of the delivery system in enlarged right heart anatomy.•Leadless pacemakers may be an effective alternative to traditional endovascular devices when anatomy is not suitable for traditional device placement. •Very large right heart anatomy may make it difficult to successfully deploy a leadless pacemaker using the standard delivery system.•Gooseneck snares placed over the delivery system and through the sheath is a safe and effective method of improving the reach of the delivery system in enlarged right heart anatomy.•Leadless pacemakers may be an effective alternative to traditional endovascular devices when anatomy is not suitable for traditional device placement.
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Alyesh et al. (2018) conducted a case report in Enlarged right heart anatomy requiring pacemaker (n=1). Leadless pacemaker deployment using a double snare technique was evaluated on Successful deployment. Leadless pacemaker deployment using a double snare technique was successfully performed in a patient with challenging right heart anatomy.
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