Work

Novel use of 3-dimensional transthoracic echocardiography to guide implantation of a leadless pacemaker system

Year: 2022

Type: article

Abstract: Key Teaching Points•Accurate positioning of leadless pacemaker devices within the right ventricle (RV) is critical to reducing the risk of periprocedural complications and optimizing device function.•Use of 3-dimensional transthoracic echocardiography as an adjunct to fluoroscopy during implantation can improve visualization of the pacemaker device in relation to cardiac structures and reduce or eliminate the need for contrast dye administration.•Optimal echocardiographic views will vary depending on individual patient anatomy. In this case, an RV modified apical 4-chamber view was the best view to visualize positioning of the device in the apical septum. •Accurate positioning of leadless pacemaker devices within the right ventricle (RV) is critical to reducing the risk of periprocedural complications and optimizing device function.•Use of 3-dimensional transthoracic echocardiography as an adjunct to fluoroscopy during implantation can improve visualization of the pacemaker device in relation to cardiac structures and reduce or eliminate the need for contrast dye administration.•Optimal echocardiographic views will vary depending on individual patient anatomy. In this case, an RV modified apical 4-chamber view was the best view to visualize positioning of the device in the apical septum.

Source: HeartRhythm Case Reports

DOI: 10.1016/j.hrcr.2022.02.014

Authors: Hirad Yarmohammadi, Jaya Batra, Jessica A. Hennessey, Stephanie Kochav, Deepak Saluja, Qi Liu

Institution: Columbia University

Language: English

Topic: Cardiac pacing and defibrillation studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,050