How to Implant a Permanent Transvenous Pacing System After Single Ventricle Palliation With a Right or Left Infraclavicular Pocket-Single Venous Approach With Left Infraclavicular Pocket

Single Venous Approach With Left Infraclavicular Pocket

Video Transcription

Video Summary

The video discusses the placement of a transvenous pacemaker through the floor of the pulmonary artery via a left infraclavicular pocket. The patient is an 18-year-old male with hypoplastic left heart syndrome who previously had a dual-chamber epicardial pacemaker placed. Due to progressive increase in thresholds and the pacemaker being at end of life, a multidisciplinary discussion was held to determine the next steps. The video demonstrates the use of steerable channel sheets and a coaxial system to puncture the floor of the pulmonary artery and successfully place the pacemaker leads in the patient. The speaker also mentions a relevant paper by Shivkumar Sharma on different approaches for pacemaker placement in the fontan population.

Asset Subtitle

Abhay A. Divekar, MD, FSCAI

Keywords

transvenous pacemaker

pulmonary artery

left infraclavicular pocket

hypoplastic left heart syndrome

steerable channel sheets