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How to Implant a Permanent Transvenous Pacing Syst ...
Single Venous Approach With Left Infraclavicular P ...
Single Venous Approach With Left Infraclavicular Pocket
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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
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