{"title":"圈套技术是有用的无铅起搏器植入病人严重的右心房扩张","authors":"Kosuke Hirose MD, Tomoki Fukui MD, Miwa Miyoshi MD, PhD, Nobuyuki Ogasawara MD","doi":"10.1002/joa3.70075","DOIUrl":null,"url":null,"abstract":"<p>Leadless pacemaker implantation in a patient with severe right atrium dilation was unsuccessful using the conventional approach. The delivery system failed to gain sufficient backup force from the atrial wall and moved upward within the dilated atrium. To overcome this, the snare technique was employed. By securing the slightly distal portion of the top of the shaft curve, the pushing force was effectively transmitted to the tip of the system, creating a stable gooseneck shape for successful implantation.\n <figure>\n <div><picture>\n <source></source></picture><p></p>\n </div>\n </figure></p>","PeriodicalId":15174,"journal":{"name":"Journal of Arrhythmia","volume":"41 2","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/joa3.70075","citationCount":"0","resultStr":"{\"title\":\"Snare technique is useful for leadless pacemaker implantation in a patient with severe right atrial dilatation\",\"authors\":\"Kosuke Hirose MD, Tomoki Fukui MD, Miwa Miyoshi MD, PhD, Nobuyuki Ogasawara MD\",\"doi\":\"10.1002/joa3.70075\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Leadless pacemaker implantation in a patient with severe right atrium dilation was unsuccessful using the conventional approach. The delivery system failed to gain sufficient backup force from the atrial wall and moved upward within the dilated atrium. To overcome this, the snare technique was employed. By securing the slightly distal portion of the top of the shaft curve, the pushing force was effectively transmitted to the tip of the system, creating a stable gooseneck shape for successful implantation.\\n <figure>\\n <div><picture>\\n <source></source></picture><p></p>\\n </div>\\n </figure></p>\",\"PeriodicalId\":15174,\"journal\":{\"name\":\"Journal of Arrhythmia\",\"volume\":\"41 2\",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-04-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/joa3.70075\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Arrhythmia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/joa3.70075\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Arrhythmia","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/joa3.70075","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Snare technique is useful for leadless pacemaker implantation in a patient with severe right atrial dilatation
Leadless pacemaker implantation in a patient with severe right atrium dilation was unsuccessful using the conventional approach. The delivery system failed to gain sufficient backup force from the atrial wall and moved upward within the dilated atrium. To overcome this, the snare technique was employed. By securing the slightly distal portion of the top of the shaft curve, the pushing force was effectively transmitted to the tip of the system, creating a stable gooseneck shape for successful implantation.