Right Subclavian Vein Approach for Selective Left Bundle Branch Pacing: A Case Report

Overview

Journal Ann Noninvasive Electrocardiol

Specialty Cardiology & Vascular Diseases

Date 2022 Jul 29

PMID 35904508

Authors

Xinhui Peng

Longfu Jiang

Sujun Chen

Haiming Feng

Affiliations

Soon will be listed here.

Abstract

We reported a 65-year-old man with symptomatic bradycardia caused by chronic atrial fibrillation who underwent pacemaker implantation by left bundle branch pacing (LBBP) via right subclavian vein (RSV) approach. A tricuspid valve annulus (TVA) angiography was performed, and a different connecting cable that can monitor electrocardiograms (ECG) and intracardiac electrograms (EGM) in real time was used during the process. By TVA angiography, we could easily find the ideal location of LBBP; a new connecting cable helped us avoid perforation and guide effective endpoint without the need to stop pacing. The case showed that it was feasible and safe to use the new method for LBBP through RSV route.

Citing Articles

Right subclavian vein approach for selective left bundle branch pacing: A case report.

Peng X, Jiang L, Chen S, Feng H Ann Noninvasive Electrocardiol. 2022; 28(1):e12999.

PMID: 35904508 PMC: 9833361. DOI: 10.1111/anec.12999.

References

Peng X, Jiang L, Chen S, Feng H . Right subclavian vein approach for selective left bundle branch pacing: A case report. Ann Noninvasive Electrocardiol. 2022; 28(1):e12999. PMC: 9833361. DOI: 10.1111/anec.12999. View

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Shen J, Jiang L, Jiang F, Wu H, Cai X, Zhuo S . Premature beat of selective left bundle branch: a novel marker for reaching and capturing the left bundle branch. J Interv Card Electrophysiol. 2022; 66(4):865-872. DOI: 10.1007/s10840-022-01203-2. View