First‐in‐man fully leadless transvenous CRT‐P with a transseptal implant of WISE‐CRT® system and Micra® PM. Issue 11 (30th June 2019)

• Record Type: Journal Article
• Authors: Montemerlo, Elisabetta; Pozzi, Mattia; De Ceglia, Sergio; Santini, Francesca; Piazzi, Elena; Rovaris, Giovanni
• Is Part Of: Pacing and clinical electrophysiology. Volume 42:Issue 11(2019)
• Page Start: 1489
• Page End: 1492
• Publication Date: 2019-06-30
• Subjects: CRT -- leadless -- Micra -- wireless -- wise; Cardiac pacing -- Periodicals; Electrophysiology -- Periodicals; 617.4120645
• DOI: 10.1111/pace.13750
• Languages: English
• ISSNs: 0147-8389

Abstract

Abstract: We describe the world's first fully leadless cardiac resynchronization therapy pacing implant with transseptal approach, in a patient with pacemaker dependency, atrial fibrillation, ischemic hypokinetic cardiomyopathy, and a history of pocket infections. After lead extraction, we implanted a MicraTranscathether Pacing System® (Medtronic, Minneapolis, MN, USA) as the sole right ventricular pacemaker, and the WISECRT system (EBR Systems, Sunnyvale, CA, USA) to provide biventricular pacing. We performed the WISECRT implant procedure using the transseptal approach given the presence of a prosthetic aortic mechanical valve, achieving satisfactory periprocedural results.