Insertion of an active fixation lead in the inferior interatrial septum via a 9.0 Fr guiding catheter. Issue 2 (13th August 2013)

• Record Type: Journal Article
• Authors: Mori, Shumpei; Otomo, Kiyoshi; Osai, Norichika; Takizawa, Kaname; Otomo, Tatsushi; Inoue, Naoto; Meguro, Taiichiro; Hirata, Ken‐ichi
• Is Part Of: Journal of arrhythmia. Volume 30:Issue 2(2014)
• Page Start: 123
• Page End: 126
• Publication Date: 2013-08-13
• Subjects: Active fixation -- Inferior interatrial septum -- Guiding catheter -- Stylet -- Atrial fibrillation; Arrhythmia -- Periodicals; Cardiac pacing -- Periodicals; Arrhythmias, Cardiac; Arrhythmia; Cardiac pacing; Periodicals; Electronic journals; Periodicals; 616.128
• DOI: 10.1016/j.joa.2013.07.005
• Languages: English
• ISSNs: 1880-4276

Abstract

Abstract: 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.