Why the study?
In adults with palliated congenital heart disease requiring permanent pacemakers, cardiac anomalies and myocardial scarring present technical challenges for pacing lead implantation.
Does the use of an electroanatomic mapping system with high-density multipolar mapping catheters improve the identification of viable pacing targets for transvenous atrial pacing lead implantation in a Fontan patient?
Population
A Fontan patient with palliated congenital heart disease
Comparison
Electroanatomic mapping with high-density multipolar mapping catheters to guide transvenous atrial pacing lead implantation
Design
Case report
Authors
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May provide a less invasive alternative to epicardial pacing in select Fontan patients; leaves open safety, durability, and generalizability.
Does the use of an electroanatomic mapping system with high-density multipolar mapping catheters improve the identification of viable pacing targets for transvenous atrial pacing lead implantation in a Fontan patient?
Electroanatomic mapping with high-density multipolar catheters can facilitate transvenous pacemaker lead placement in Fontan patients with extensive scarring.
Pompa et al. (2023) studied this question.
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