Autopsy evaluation of the implantation site of a His bundle pacing lead demonstrating selective capture

Evaluations of His bundle pacing (HBP) lead location at autopsy examination have been rarely reported. We report an autopsy case of a 98‐year‐old man who underwent HBP implantation due to atrioventricular block and heart failure. Although selective HBP was achieved with an acceptable threshold, the...

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Veröffentlicht in:Pacing and clinical electrophysiology 2020-11, Vol.43 (11), p.1412-1416
Hauptverfasser: Kato, Hiroyuki, Igawa, Osamu, Suga, Kazumasa, Murakami, Hisashi, Kada, Kenji, Tsuboi, Naoya, Yanagisawa, Satoshi, Inden, Yasuya, Murohara, Toyoaki
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container_end_page 1416
container_issue 11
container_start_page 1412
container_title Pacing and clinical electrophysiology
container_volume 43
creator Kato, Hiroyuki
Igawa, Osamu
Suga, Kazumasa
Murakami, Hisashi
Kada, Kenji
Tsuboi, Naoya
Yanagisawa, Satoshi
Inden, Yasuya
Murohara, Toyoaki
description Evaluations of His bundle pacing (HBP) lead location at autopsy examination have been rarely reported. We report an autopsy case of a 98‐year‐old man who underwent HBP implantation due to atrioventricular block and heart failure. Although selective HBP was achieved with an acceptable threshold, the stimulus‐to‐QRS interval was relatively longer without correction of the right bundle‐branch block. A macroscopic examination revealed that the HBP lead was inserted on the ventricular side passing through the anteroseptal commissure of the tricuspid valve. Transthyretin cardiac amyloidosis may affect the distal conduction system resulting in a long stimulus‐to‐QRS interval during selective HBP.
doi_str_mv 10.1111/pace.13989
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source Wiley Journals
subjects Amyloidosis
atrioventricular block
Autopsy
Congestive heart failure
His bundle pacing
pacemaker
Transthyretin
transthyretin cardiac amyloidosis
Tricuspid valve
Ventricle
title Autopsy evaluation of the implantation site of a His bundle pacing lead demonstrating selective capture
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