Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

We report a successful LBBAP lead implantation using the sheath-in-sheath technique in a patient with RA enlargement and a TAP ring. The sheath-in-sheath technique can serve as a valuable alternative approach in patients with structural heart abnormalities in whom LBBAP lead placement with a standard delivery system is technically challenging.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368885PMC
http://dx.doi.org/10.1002/joa3.70180DOI Listing

Publication Analysis

Top Keywords

sheath-in-sheath technique
12
technique patient
8
lbbap lead
8
successful left
4
left bundle
4
bundle branch
4
branch area
4
area pacing
4
pacing sheath-in-sheath
4
patient atrial
4

Similar Publications

Objective: We illustrate transcatheter left atrial appendage closure under local anesthesia with intracardiac echocardiography guidance for a complex patient with repaired tetralogy of Fallot at high risk for general anesthesia, with preprocedural cardiac computed tomography (CT) support.

Key Steps: 1) CT imaging and analysis; 2) vascular access with use of sheath-in-sheath technique; 3) transseptal puncture with VersaCross system; and 4) deployment of Watchman device in CT-planned projection.

Potential Pitfalls: 1) Selection of appropriate preprocedural imaging modality; 2) use of sheath-in-sheath technique to avoid kinking of catheters; 3) use of VersaCross transseptal system to avoid repeat punctures, unnecessary exchanges, and risk of injury; and 4) avoidance of general anesthesia to reduce risk in a high-risk patient.

View Article and Find Full Text PDF

We report a successful LBBAP lead implantation using the sheath-in-sheath technique in a patient with RA enlargement and a TAP ring. The sheath-in-sheath technique can serve as a valuable alternative approach in patients with structural heart abnormalities in whom LBBAP lead placement with a standard delivery system is technically challenging.

View Article and Find Full Text PDF
Article Synopsis
  • The sheath-in-sheath technique involves using a 15Fr cryoballoon delivery sheath inside a larger 16Fr sheath to assist in medical procedures.
  • This method is particularly effective for accessing complex iliac veins during cryoballoon ablation, a treatment for atrial fibrillation.
  • It ensures safe delivery of the cryoballoon while maintaining the device's performance and avoiding any complications.
View Article and Find Full Text PDF

As the prevalence of leadless pacemaker systems increases, identifying various methodologies for retrieval of these devices in certain instances becomes even more paramount. We describe a case demonstrating the utility of a coronary guide catheter as part of an improvised sheath-in-sheath technique for the challenging retrieval of a Micra™ leadless pacing system (Medtronic, Minneapolis, MN, USA).

View Article and Find Full Text PDF