心内膜经静脉心房起搏的电解剖定位。

Q3 Medicine

Indian Pacing and Electrophysiology Journal Pub Date : 2025-07-01 DOI:10.1016/j.ipej.2025.07.012

Carlotta Sembenini, Alessandro Locatelli, Luca Tomasi, Giacomo Mugnai

{"title":"心内膜经静脉心房起搏的电解剖定位。","authors":"Carlotta Sembenini, Alessandro Locatelli, Luca Tomasi, Giacomo Mugnai","doi":"10.1016/j.ipej.2025.07.012","DOIUrl":null,"url":null,"abstract":"<div><div>The Fontan circulation is a palliative surgery used to treat cardiac abnormalities with only one well-developed ventricle. Although the surgical epicardial pacing is usually preferred, in a few cases the transvenous placement of a permanent atrial lead can be considered. The transvenous endocardial pacing is challenging because most of the right atrium is fibrotic and the lead positioning needs to be supported by a long sheath.</div><div>We report a case of a transvenous lead placement from a typical left pre-pectoral pocket guided by electro-anatomical mapping.</div></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"25 4","pages":"Pages 243-246"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Endocardial transvenous atrial pacing in lateral tunnel Fontan guided by electroanatomical mapping\",\"authors\":\"Carlotta Sembenini, Alessandro Locatelli, Luca Tomasi, Giacomo Mugnai\",\"doi\":\"10.1016/j.ipej.2025.07.012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>The Fontan circulation is a palliative surgery used to treat cardiac abnormalities with only one well-developed ventricle. Although the surgical epicardial pacing is usually preferred, in a few cases the transvenous placement of a permanent atrial lead can be considered. The transvenous endocardial pacing is challenging because most of the right atrium is fibrotic and the lead positioning needs to be supported by a long sheath.</div><div>We report a case of a transvenous lead placement from a typical left pre-pectoral pocket guided by electro-anatomical mapping.</div></div>\",\"PeriodicalId\":35900,\"journal\":{\"name\":\"Indian Pacing and Electrophysiology Journal\",\"volume\":\"25 4\",\"pages\":\"Pages 243-246\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Pacing and Electrophysiology Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0972629225001032\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Pacing and Electrophysiology Journal","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0972629225001032","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

Fontan循环是一种姑息性手术，用于治疗只有一个心室发育良好的心脏异常。虽然手术心外膜起搏通常是首选，但在少数情况下，可以考虑经静脉放置永久性心房导联。经静脉心内膜起搏是具有挑战性的，因为大部分右心房是纤维化的，导联定位需要由长鞘支撑。我们报告一例经静脉铅放置从一个典型的左胸前口袋引导电解剖测绘。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Endocardial transvenous atrial pacing in lateral tunnel Fontan guided by electroanatomical mapping

The Fontan circulation is a palliative surgery used to treat cardiac abnormalities with only one well-developed ventricle. Although the surgical epicardial pacing is usually preferred, in a few cases the transvenous placement of a permanent atrial lead can be considered. The transvenous endocardial pacing is challenging because most of the right atrium is fibrotic and the lead positioning needs to be supported by a long sheath.

We report a case of a transvenous lead placement from a typical left pre-pectoral pocket guided by electro-anatomical mapping.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Indian Pacing and Electrophysiology Journal Medicine-Cardiology and Cardiovascular Medicine

CiteScore

2.20

自引率

0.00%

发文量

审稿时长

61 days

期刊介绍： Indian Pacing and Electrophysiology Journal is a peer reviewed online journal devoted to cardiac pacing and electrophysiology. Editorial Advisory Board includes eminent personalities in the field of cardiac pacing and electrophysiology from Asia, Australia, Europe and North America.