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Pacing the Impossible: ICE- and Voltage-Guided Atrial Leadless Pacemaker Implantation in Double Mechanical Valve
Kridhitach Ngarmukos1, Narut Prasitlumkum2, Pattara Rattanawong2
1Department of Medicine, John A. Burns School of Medicine University of Hawai'i Honolulu Hawaii USA.
Abstract:
A and B: Right atrial voltage mapping identified a limited region of viable myocardium within an extensive atrial scar. C: Intracardiac echocardiography guided safe deployment of an atrial leadless pacemaker. D and E: Fluoroscopy confirmed stable device positioning in the right atrial appendage of the patient.
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