Direct His bundle pacing post AVN ablation.
Atrioventricular nodal (AVN) ablation with concomitant pacemaker implantation is one of the strategies that reduce symptoms in patients with atrial fibrillation (AF). However, the long-term adverse effects of right ventricular (RV) apical pacing have led to the search for alternating sites of pacing. Biventricular pacing produces a significant improvement in functional capacity over RV pacing in patients undergoing AVN ablation. Another alternative site for pacing is direct His bundle to reduce the adverse outcome of RV pacing. Here, we present a case of direct His bundle pacing using steerable lead delivery system in a patient with symptomatic paroxysmal AF with concurrent AVN ablation.
Lakshmanadoss
Umashankar
U
Unity Health System, Rochester, New York 14626, USA. udoss@unityhealth.org
Aggarwal
Ashim
A
Huang
David T
DT
Daubert
James P
JP
Shah
Abrar
A
D000368:Aged; D001281:Atrial Fibrillation / Q000209:etiology* / Q000517:prevention & control*; D002036:Bundle of His; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D017115:Catheter Ablation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000150:complications* / Q000601:surgery*; D016896:Treatment Outcome