Key result
Lead insertion in the inferior interatrial septum via a 9.0 Fr guiding catheter provides an alternative technique for inferior IAS pacing when conventional stylet-guided insertion is unsuccessful.
Case Report
Describes an alternative technique using a 9.0 Fr guiding catheter for inferior interatrial septum pacing when conventional stylet-guided insertion fails.
May enable inferior IAS pacing after conventional failure; leaves open safety and durability in larger cohorts.
Placing an atrial lead in the inferior interatrial septum (IAS) reportedly reduces the incidence of paroxysmal atrial fibrillation (AF) and slows the progression to chronic AF; however, in certain cases, inferior IAS pacing is technically difficult. When this procedure is unsuccessful, insertion of the lead in the right atrial appendage can be considered, but it is associated with a risk of cardiac perforation. Here, we describe a technique for lead insertion in the inferior IAS via a 9.0 Fr guiding catheter, which may serve as an alternative technique for inferior IAS pacing when the conventional stylet‐guided insertion is not successful.
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Mori et al. (2013) conducted a case report in Atrial fibrillation. Lead insertion in the inferior interatrial septum via a 9.0 Fr guiding catheter vs. Conventional stylet-guided insertion was evaluated. Lead insertion in the inferior interatrial septum via a 9.0 Fr guiding catheter provides an alternative technique for inferior IAS pacing when conventional stylet-guided insertion is unsuccessful.
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