A simple method for Bachmann's bundle pacing with indigenous modification of J-stylet
Background: Pacing in the Bachmann's bundle (BB) area (upper atrial septum) appears superior to right atrial appendage or free wall stimulation for the prevention of paroxysmal atrial fibrillation in patients with atrial conduction delay. However, insertion of active fixation lead in the upper...
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doaj-bc00ec66f8c648fab6bd56158c8896e22020-11-24T23:48:29ZengElsevierIndian Heart Journal0019-48322016-09-0168567868410.1016/j.ihj.2015.10.299A simple method for Bachmann's bundle pacing with indigenous modification of J-styletAsit Das0Suvro Banerjee1S.C. Mandal2RMO-cum-Clinical Tutor, Department of Cardiology, IPGME&R and SSKM Hospital, Kolkata, IndiaSenior Interventional Cardiologist, Apollo Gleneagles Hospitals, Kolkata, IndiaProfessor, Department of Cardiology, IPGME&R and SSKM Hospital, Kolkata, IndiaBackground: Pacing in the Bachmann's bundle (BB) area (upper atrial septum) appears superior to right atrial appendage or free wall stimulation for the prevention of paroxysmal atrial fibrillation in patients with atrial conduction delay. However, insertion of active fixation lead in the upper atrial septal position is difficult and time consuming with conventional stylet, inhibiting application of this pacing method in routine practice. Methods: The technique of positioning the atrial lead in BB with hand-made stylet is presented with emphasis on electrocardiographic P-wave pattern and fluoroscopic landmarks. Results: The results demonstrate an acute implantation and short-term success of BB pacing of 14 patients out of 15 patients without major complications. Pacing parameters at implantation and 3 months postprocedure were noted which were within normal limits. Conclusion: These favorable initial results indicate that the positioning of active fixation atrial lead in BB with fluoroscopic landmarks is feasible and reproducible with a simple technique.http://www.sciencedirect.com/science/article/pii/S0019483215007440PacingBachmann's bundleHand-made stylet |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Asit Das Suvro Banerjee S.C. Mandal |
spellingShingle |
Asit Das Suvro Banerjee S.C. Mandal A simple method for Bachmann's bundle pacing with indigenous modification of J-stylet Indian Heart Journal Pacing Bachmann's bundle Hand-made stylet |
author_facet |
Asit Das Suvro Banerjee S.C. Mandal |
author_sort |
Asit Das |
title |
A simple method for Bachmann's bundle pacing with indigenous modification of J-stylet |
title_short |
A simple method for Bachmann's bundle pacing with indigenous modification of J-stylet |
title_full |
A simple method for Bachmann's bundle pacing with indigenous modification of J-stylet |
title_fullStr |
A simple method for Bachmann's bundle pacing with indigenous modification of J-stylet |
title_full_unstemmed |
A simple method for Bachmann's bundle pacing with indigenous modification of J-stylet |
title_sort |
simple method for bachmann's bundle pacing with indigenous modification of j-stylet |
publisher |
Elsevier |
series |
Indian Heart Journal |
issn |
0019-4832 |
publishDate |
2016-09-01 |
description |
Background: Pacing in the Bachmann's bundle (BB) area (upper atrial septum) appears superior to right atrial appendage or free wall stimulation for the prevention of paroxysmal atrial fibrillation in patients with atrial conduction delay. However, insertion of active fixation lead in the upper atrial septal position is difficult and time consuming with conventional stylet, inhibiting application of this pacing method in routine practice.
Methods: The technique of positioning the atrial lead in BB with hand-made stylet is presented with emphasis on electrocardiographic P-wave pattern and fluoroscopic landmarks.
Results: The results demonstrate an acute implantation and short-term success of BB pacing of 14 patients out of 15 patients without major complications. Pacing parameters at implantation and 3 months postprocedure were noted which were within normal limits.
Conclusion: These favorable initial results indicate that the positioning of active fixation atrial lead in BB with fluoroscopic landmarks is feasible and reproducible with a simple technique. |
topic |
Pacing Bachmann's bundle Hand-made stylet |
url |
http://www.sciencedirect.com/science/article/pii/S0019483215007440 |
work_keys_str_mv |
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