Key result
Permanent His-bundle pacing from the right atrium is a feasible option for patients with an inaccessible right ventricle due to a tricuspid valve prosthesis.
Why the study?
Tricuspid valve prosthesis presents an anatomical barrier to right ventricular pacing, raising the question of whether permanent His-bundle pacing from the right atrium is feasible.
Is permanent His-bundle pacing from the right atrium feasible in patients with a prosthetic tricuspid valve?
Population
Patients with prosthetic tricuspid valve and inaccessible right ventricle
Comparison
Permanent His-bundle pacing from the right atrium
Authors
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May offer an alternative when RV access is blocked; leaves open durability and generalizability in larger cohorts.
Case Report
Is permanent His-bundle pacing from the right atrium feasible in patients with a prosthetic tricuspid valve?
Permanent His-bundle pacing from the right atrium is a feasible alternative for patients with a tricuspid valve prosthesis that precludes standard right ventricular pacing.
Rojas et al. (2019) conducted a case report in Prosthetic tricuspid valve with inaccessible right ventricle. Permanent His-bundle pacing from the right atrium was evaluated. Permanent His-bundle pacing from the right atrium is a feasible option for patients with an inaccessible right ventricle due to a tricuspid valve prosthesis.
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