His-bundle pacing from the right atrium: Solving pacemaker implantation challenges post-TriClip

Yoshimi Onishi1,2, Alberto Barengo1, Francesco Fioravanti1

  • 1Cardiac Electrophysiology and Clinical Arrhythmology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Summary

His-bundle pacing (HBP) effectively preserves cardiac function and avoids TriClip device interference in patients with severe tricuspid regurgitation. This novel approach ensures optimal pacing and lead stability, preventing complications.