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Related Experiment Videos

His bundle electrogram recording using a multipolar electrode catheter via the arm veins

G Giuffrida, G Critelli, P Giudice

    Journal of Electrocardiology
    |January 1, 1981
    PubMed
    Summary
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    This study demonstrates that the arm vein approach is a viable alternative for His bundle electrograms, offering practical advantages for atrial pacing and His bundle recording. This method provides stable recordings and is useful when the femoral approach is not feasible.

    Area of Science:

    • Cardiology
    • Electrophysiology
    • Medical Devices

    Background:

    • Atrioventricular conduction disturbances require accurate His bundle electrograms for diagnosis and management.
    • The standard femoral approach for His bundle electrograms may not always be feasible.

    Purpose of the Study:

    • To evaluate the efficacy and advantages of an arm vein approach for His bundle electrograms.
    • To assess the utility of a hexapolar electrode catheter in this approach.

    Main Methods:

    • His bundle electrograms were performed in 18 patients using a 6F hexapolar electrode catheter inserted via the arm vein.
    • The catheter was positioned in a "golf club" shape across the tricuspid valve for atrial pacing and His bundle recording.

    Main Results:

    Related Experiment Videos

    • Successful His bundle electrograms were obtained in all 18 patients.
    • The arm approach proved to be a feasible alternative to the femoral route.
    • The hexapolar catheter facilitated both atrial pacing and His bundle recordings.

    Conclusions:

    • The arm vein approach is a practical and effective alternative for His bundle electrogram studies.
    • Hexapolar catheters offer advantages for simultaneous pacing and recording, enabling stable, long-term monitoring.
    • This technique may be particularly useful for His bundle electrogram studies during supine exercise.