CONGRESS ABSTRACT

We present the case of a patient with a history of valvulopathy. In 2016, she underwent aortic valve replacement with a bioprosthetic valve (MitroFlow 21mm). One year later, she required replacement of the previously implanted bioprosthetic valve due to prosthetic endocarditis, with an Edwards Magna 21mm aortic bioprosthesis. She…

INTRODUCTION: Leadless pacemakers (LP) have been proven to be an effective pacing option after tricuspid valve intervention. Nevertheless, the optimal pacing modality in patients with a tricuspid valve stenosis is still debated. CASE REPORT: An 86-year-old man with a mechanical aortic valve and a biological tricuspid prosthesis since 2009…

Background: The Micra leadless pacemaker provides a lead-free alternative to traditional transvenous pacemakers, significantly reducing complications associated with leads and device pockets. Although the initial application of leadless pacemakers was limited to centers with on-site cardiac surgery due to the technical demands, recent evidence suggests that implantation can be…

Introduction Slow pathway ablation is currently the target for AV nodal reentrant tachycardia (AVNRT) with a high success rate of almost 100% and 0.5% to 2% risk of II- to III-degree AV block. Kock triangle (KT) mapping is helpful to define the fast and slow pathway separation, demonstrating the…

Background: Axillary vein access for CIED implantation is suggested by the guidelines as a safer approach. Ultrasound (US) guided axillary access may also help to define the relationships among axillary vein and artery and the pleural line within the Mohrenheim fossa. Methods From October 2021 to October 2024, 719…

Background: Axillary vein access for CIED implantation is suggested by the guidelines as a safer approach. Ultrasound (US) guided axillary access may reduce the fluoroscopic (FL) exposition time as an alternative to other axillary accesses. We sought to compare FL times in a large cohort of patients.    Methods…

Case presentation A 68-year-old-man was admitted to our outpatient clinic for his yearly pacemaker (PM) follow-up visit. A dual-chamber PM had been previously implanted in 2021 to control a complete atrio-ventricular (AV) block. His past medical history was otherwise unremarkable. While checking the device, a spontaneous atrial rhythm triggering…

Introduction Cardiac resynchronization therapy defibrillator (CRT-D) via epicardial pacing (EP) is the standard treatment for heart failure (HF) patients with left ventricular dyssynchrony. However, reimplantation of EP following transvenous lead extraction (TLE) can be technically challenging due to venous occlusions and unfavorable coronary sinus anatomy. Left bundle branch area…

Introduction: Nowadays, pacemaker (PM) therapy remains associated with considerable peri- and post-procedural complications. Blind puncture of the subclavian vein for PM lead insertion is a routine procedure, but it carries the risk of potentially life-threatening complications, including pneumothorax, arteriovenous fistula, and injury or perforation of the subclavian artery, vein, or…