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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.
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.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Devices
Background:
- Severe tricuspid regurgitation often necessitates intervention with devices like TriClip.
- Patients may develop bradyarrhythmias requiring pacemaker implantation post-intervention.
- Traditional pacing methods can pose risks of lead complications or device interference.
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