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

Video Transcription

Video Summary

In this video, the speaker discusses various techniques and advancements in pacemaker implantation. They start by mentioning the progress made in pacemaker devices and leads, from the early induction coil pacemaker to the modern leadless pacemakers. The speaker then discusses their experience with transvenous pacing and the challenges they faced with fractured wires due to movement between the liver and the lead. They also explore the use of accessing atrial masses for various procedures, such as fenestration, ablation, left atrial appendage occlusion, and AV valve repair or replacement. The speaker covers different techniques for accessing the atrial mass, including puncturing the conduit, retrograde approach to the AV valve, and going below the conduit. They explain the importance of choosing the right size and position for stents and leads and mention the use of various sheaths and wires. The speaker provides tips and considerations for pacing in different scenarios, such as the lateral Fontan procedure and hybrid implantations. They discuss potential complications and emphasize the need for anticoagulation. In conclusion, they highlight the feasibility and success of the discussed techniques and stress the importance of lifelong anticoagulation. This video does not mention any specific credits.

Asset Subtitle

Joseph V. De Giovanni, MD, FRCP, FRCPCHY, MOM

Keywords

pacemaker implantation

leadless pacemakers

transvenous pacing

accessing atrial masses

anticoagulation