Control 3 weeks after csp implant in postsurgical AVB.
Optimal electrical check.
100% LBBPA pacing
However, the echocardiographic assessment raises an interesting question.
Based on these echo images 🤐, would you consider lead revision or would you leave the system untouched?
Extravascular implantable cardioverter-defibrillator (ICD) implantation in a teenager with Brugada syndrome and recurrent inappropriate shocks of subcutaneous ICD
https://t.co/1X1K3j3eNs
Going in for a simple atrial tweak and ending up with half your atria vaporized is like asking your dentist for a tiny filling and leaving with no teeth.
@Hapa_EP By my side not very often svc isolation. Just in case of tach or ectopies. Vom ethanol guided lateral mitral line and dome line in pers or redo. In my routine I avoid PW isolation instead.
@javadm20 What a case! CMR/CT for cardiac substrate/fibrosis location (epi? Summit?). VT probably from the subaortic region/epi but subpulmonary exit not excludible. Transaortic access. Not possible trans-tricuspid/RV access.
Very though case. Would prepare for SB-stereotactic therapy.