Electrophysiology Unit, European Georges Pompidou Hospital, Paris, France.
Adult Congenital Heart Disease Unit, European Georges Pompidou Hospital, Paris, France.
J Cardiovasc Electrophysiol. 2024 Jun;35(6):1232-1234. doi: 10.1111/jce.16261. Epub 2024 Mar 27.
Pacemaker implantation can be challenging in patients with congenital heart disease.
In a patient with Ebstein disease and symptomatic sinus node dysfunction, despite multiple attempts, the Micra® pacemaker could not be implanted in the severely dilated right ventricle. In that context, and after iodine injection to confirm the appropriate location, the Micra® pacemaker was successfully implanted in the right appendage at the first attempt.
Despite the recent development of dedicated dual-chamber leadless pacemaker, to the best of our knowledge, this case is the first off-label Micra® implantation in a right appendage.
在患有先天性心脏病的患者中，植入起搏器可能具有挑战性。
在患有Ebstein 病和窦性心动功能障碍的患者中，尽管多次尝试，但是 Micra®起搏器仍无法植入严重扩张的右心室。在这种情况下，并且在碘注射以确认适当的位置之后，首次尝试将 Micra®起搏器成功植入右心耳。
尽管最近开发了专用的双腔无导线起搏器，但据我们所知，这是首例在右心耳进行 Micra®植入的适应证外使用。
