First-in-man fully leadless transvenous CRT-P with a

Pacing Clin Electrophysiol · Nov 2019

Case Reports

First-in-man fully leadless transvenous CRT-P with a transseptal implant of WISE-CRT® system and Micra® PM.

We describe the world's first fully leadless cardiac resynchronization therapy pacing implant with transseptal approach, in a patient with pacemaker dependency, atrial fibrillation, ischemic hypokinetic cardiomyopathy, and a history of pocket infections. After lead extraction, we implanted a MicraTranscathether Pacing System® (Medtronic, Minneapolis, MN, USA) as the sole right ventricular pacemaker, and the WISECRT system (EBR Systems, Sunnyvale, CA, USA) to provide biventricular pacing. We performed the WISECRT implant procedure using the transseptal approach given the presence of a prosthetic aortic mechanical valve, achieving satisfactory periprocedural results.

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- Elisabetta Montemerlo, Mattia Pozzi, Sergio De Ceglia, Francesca Santini, Elena Piazzi, and Giovanni Rovaris.
- Cardiology and Electrophysiology Unit, San Gerardo Hospital, Monza, Italy.
- Pacing Clin Electrophysiol. 2019 Nov 1; 42 (11): 1489-1492.
AbstractWe describe the world's first fully leadless cardiac resynchronization therapy pacing implant with transseptal approach, in a patient with pacemaker dependency, atrial fibrillation, ischemic hypokinetic cardiomyopathy, and a history of pocket infections. After lead extraction, we implanted a MicraTranscathether Pacing System® (Medtronic, Minneapolis, MN, USA) as the sole right ventricular pacemaker, and the WISECRT system (EBR Systems, Sunnyvale, CA, USA) to provide biventricular pacing. We performed the WISECRT implant procedure using the transseptal approach given the presence of a prosthetic aortic mechanical valve, achieving satisfactory periprocedural results.© 2019 Wiley Periodicals, Inc.

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First-in-man fully leadless transvenous CRT-P with a transseptal implant of WISE-CRT® system and Micra® PM.

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