Left Bundle Branch Optimized Implantable Cardioverter Defibrillator (LOT-ICD) Implantation in a Patient with Myotonic Dystrophy
EUROPEAN JOURNAL OF THERAPEUTICS, cilt.30, sa.3, ss.362-367, 2024 (ESCI, TRDizin)
- Yayın Türü: Makale / Kısa Makale
- Cilt numarası: 30 Sayı: 3
- Basım Tarihi: 2024
- Doi Numarası: 10.58600/eurjther2038
- Dergi Adı: EUROPEAN JOURNAL OF THERAPEUTICS
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.362-367
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Hacettepe Üniversitesi Adresli: Evet
Özet
Left bundle branch (LBB) optimized implantable cardioverter defibrillator (LOT-ICD) is a recently emerged alternative to the standard biventricular pacing - ICD (BiVp-ICD). The IS-1 connector pin of the ICD lead was closed with a protective cap and the LBB pacing (LBBP) lead was inserted into the ICD generator at the ventricular P/S hole. Herein, we presented a myotonic dystrophy patient who underwent LOT-ICD device implantation because of a high degree of atrioventricular block and heart failure with mid-range ejection fraction. A DDD-ICD (DF-1) was implanted in our patient which has been attached to the atrial lead (RA hole), the LBBP lead (ventricular IS-1 hole), and the ICD lead (ventricular DF-1 hole). The IS-1 pin of the ICD lead was closed accordingly. The LOT-ICD should be considered an option to standard BiVp-ICD associated with lower cost, lower procedure time, and no phrenic nerve capture.