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3D computed tomography integration guiding permanent Aveir AR leadless pacemaker implantation: a case report
Mohamed Magdy1,2,3, Maichel Botros1,2, Mohammed Mostafa1,4
1AL Qassimi Hospital, Emirates Health Services (EHS), Wasit Street-Al khazamiya, Sharjah 3500, United Arab Emirates.
Background:
The use of single-chamber, right ventricular (RV) leadless pacemakers (LPs) has been well established, the introduction of a right atrial LPs has opened the door for dual-chamber leadless pacing. Cardiac computed tomography (CT) segmentation integration might provide proper visual guide during the procedure.
Case Summary:
A 58-year-old male patient was brought to the emergency department with dizziness and complete heart block. The patient underwent single-chamber permanent LP implantation. During the upgrade to a dual-chamber LP, 3D CT image fusion with fluoroscopy was utilized to accurately identify the ideal and safe implantation site for the device.
Discussion:
Integrating CT image guidance with fluoroscopy could enhance procedure safety, success rates, and reduces fluoroscopy time.
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