The angle of the tines before the pull and hold test predicts engagement of the tines in Micra leadless pacemaker implantation

被引：0

作者：

Mizukami, Akira ^{[1
]}

Miyakuni, Shota ^{[1
]}

Nakada, Ryo ^{[1
]}

Kobayashi, Tetsuya ^{[1
]}

Kawakami, Takuya ^{[1
]}

Takegawa, Koki ^{[1
]}

Arai, Hirofumi ^{[2
]}

Hiroki, Jiro ^{[1
]}

Yoshioka, Kenji ^{[1
]}

Otani, Hirofumi ^{[1
]}

Ono, Maki ^{[1
]}

Yamashita, Shu ^{[1
]}

Ueshima, Daisuke ^{[1
]}

Suzuki, Makoto ^{[3
]}

Matsumura, Akihiko ^{[1
]}

Goya, Masahiko ^{[4
]}

Sasano, Tetsuo ^{[4
]}

机构：

[1] Kameda Med Ctr, Dept Cardiol, 929 Higashi Cho, Chiba 2968602, Japan

[2] Yokohama City Minato Red Cross Hosp, Dept Cardiol, Yokohama, Kanagawa, Japan

[3] Yokohama Minami Kyosai Hosp, Dept Cardiol, Yokohama, Kanagawa, Japan

[4] Tokyo Med & Dent Univ, Dept Cardiovasc Med, Tokyo, Japan

来源：

JOURNAL OF ARRHYTHMIA | 2023年 / 39卷 / 01期

关键词：

angle; engagement; leadless pacemaker; Micra; tines; NON-PHARMACOTHERAPY; CARDIAC-PACEMAKER; TRANSCATHETER; PERFORMANCE; THERAPY; DESIGN; WORLD;

D O I：

10.1002/joa3.12797

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BackgroundMicra leadless pacemaker is secured to the myocardium by engagement of at least 2/4 tines confirmed with pull and hold test. However, the pull and hold test is sometimes difficult to assess. This study was performed to evaluate whether the angle of the tines before the pull and hold test predicts engagement of the tines in Micra leadless pacemaker implantation. MethodsWe retrospectively enrolled 93 consecutive patients (52.7% male, age 82.4 +/- 9.4 years), who received Micra implantation from September 2017 to June 2020 at our institution. After deployment and before the pull and hold test, the angle of the visible tines to the body of the pacemaker was measured using the RAO view of the fluoroscopy image. The engagement of the tines was then confirmed with the pull and hold test. ResultsA total of 326 tines were analyzed. The angle of the engaged tines was significantly lower than the non-engaged tines (9.2 degrees [4.0-14.0] vs. 16.6 degrees [14.2-18.8], p < .0001). All tines with angles <10 degrees were engaged. In higher angles, engagement could not be predicted. ConclusionA low angle of the tines before the pull and hold test can predict engagement of the tines in Micra leadless pacemaker implantation. The tines which are already open after deployment may be presumed that they are engaged.

引用

页码：10 / 17

页数：8

共 18 条

[1] Techniques for successful early retrieval of the Micra transcatheter pacing system: A worldwide experience [J].

Afzal, Muhammad R. ;

Daoud, Emile G. ;

Cunnane, Ryan ;

Mulpuru, Shiva K. ;

Koay, Alan ;

Hussain, Azlan ;

Omar, Razali ;

Wei, Koh Kok ;

Amin, Anish ;

Kidwell, Gregory ;

Patel, Nirav ;

Love, Charles ;

Lloyd, Michael ;

Sterlinski, Maciej ;

Goldbarg, Seth ;

Leal, Miguel A. ;

Gabriels, James ;

Patel, Apoor ;

Jadonath, Ram ;

Grubman, Eric ;

Crossley, George ;

Pepper, Chris ;

Lakkireddy, Dhanunjaya ;

Okabe, Toshimasa ;

Hummel, John D. ;

Augostini, Ralph S. .

HEART RHYTHM, 2018, 15 (06) :841-846

[2] Design and Evaluation of a Novel Fixation Mechanism for a Transcatheter Pacemaker [J].

Eggen, Michael D. ;

Grubac, Vladimir ;

Bonner, Matthew D. .

IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, 2015, 62 (09) :2316-2323

[3] Leadless pacemaker implantation quality: importance of the operator's experience [J].

Haeberlin, Andreas ;

Kozhuharov, Nikola ;

Knecht, Sven ;

Tanner, Hildegard ;

Schaer, Beat ;

Noti, Fabian ;

Osswald, Stefan ;

Servatius, Helge ;

Baldinger, Samuel ;

Seiler, Jens ;

Lam, Anna ;

Mosher, Luke ;

Sticherling, Christian ;

Roten, Laurent ;

Kuhne, Michael ;

Reichlin, Tobias .

EUROPACE, 2020, 22 (06) :939-946

[4]

Hasegawa-Tamba Saki, 2020, HeartRhythm Case Rep, V6, P711, DOI 10.1016/j.hrcr.2020.06.027

[5] The fixation tines of the Micra™ leadless pacemaker are atraumatic to the tricuspid valve [J].

Mattson, Alexander R. ;

Sanchez, Jorge D. Zhingre ;

Iaizzo, Paul A. .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2018, 41 (12) :1606-1610

[6] Safety and Efficacy of Leadless Pacemakers: A Systematic Review and Meta-Analysis [J].

Ngo, Linh ;

Nour, Daniel ;

Denman, Russell A. ;

Walters, Tomos E. ;

Haqqani, Haris M. ;

Woodman, Richard J. ;

Ranasinghe, Isuru .

JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2021, 10 (13)

[7] JCS/JHRS 2019 guideline on non-pharmacotherapy of cardiac arrhythmias [J].

Nogami, Akihiko ;

Kurita, Takashi ;

Abe, Haruhiko ;

Ando, Kenji ;

Ishikawa, Toshiyuki ;

Imai, Katsuhiko ;

Usui, Akihiko ;

Okishige, Kaoru ;

Kusano, Kengo ;

Kumagai, Koichiro ;

Goya, Masahiko ;

Kobayashi, Yoshinori ;

Shimizu, Akihiko ;

Shimizu, Wataru ;

Shoda, Morio ;

Sumitomo, Naokata ;

Seo, Yoshihiro ;

Takahashi, Atsushi ;

Tada, Hiroshi ;

Naito, Shigeto ;

Nakazato, Yuji ;

Nishimura, Takashi ;

Nitta, Takashi ;

Niwano, Shinichi ;

Hagiwara, Nobuhisa ;

Murakawa, Yuji ;

Yamane, Teiichi ;

Aiba, Takeshi ;

Inoue, Koichi ;

Iwasaki, Yuki ;

Inden, Yasuya ;

Uno, Kikuya ;

Ogano, Michio ;

Kimura, Masaomi ;

Sakamoto, Shun-ichiro ;

Sasaki, Shingo ;

Satomi, Kazuhiro ;

Shiga, Tsuyoshi ;

Suzuki, Tsugutoshi ;

Sekiguchi, Yukio ;

Soejima, Kyoko ;

Takagi, Masahiko ;

Chinushi, Masaomi ;

Nishi, Nobuhiro ;

Noda, Takashi ;

Hachiya, Hitoshi ;

Mitsuno, Masataka ;

Mitsuhashi, Takeshi ;

Miyauchi, Yasushi ;

Miyazaki, Aya .

JOURNAL OF ARRHYTHMIA, 2021, 37 (04) :709-870

[8] Guidelines for Non-Pharmacotherapy of Cardiac Arrhythmias (JCS 2011) - Digest Version [J].

Okumura, Ken ;

Aizawa, Yoshifusa ;

Aonuma, Kazutaka ;

Hagiwara, Nobuhisa ;

Isobe, Fumitaka ;

Katoh, Takao ;

Matsumoto, Kazuo ;

Murakawa, Yuji ;

Nitta, Takashi ;

Ohnishi, Satoshi ;

Shimizu, Akihiko ;

Hirao, Kenzo ;

Ishikawa, Toshiyuki ;

Iwa, Toru ;

Kurita, Takashi ;

Kusano, Kengo ;

Nakamura, Yoshihide ;

Nakazato, Yuji ;

Niwano, Shinichi ;

Sasaki, Shingo ;

Shiga, Tsuyoshi ;

Shoda, Morio ;

Sumitomo, Naokata ;

Umemura, Jun ;

Kasanuki, Hiroshi ;

Kimura, Takeshi ;

Kodama, Itsuo ;

Ohe, Tohru ;

Tanaka, Shigeo .

CIRCULATION JOURNAL, 2013, 77 (01) :249-274

[9] Contemporaneous Comparison of Outcomes Among Patients Implanted With a Leadless vs Transvenous Single-Chamber Ventricular Pacemaker [J].

Piccini, Jonathan P. ;

El-Chami, Mikhael ;

Wherry, Kael ;

Crossley, George H. ;

Kowal, Robert C. ;

Stromberg, Kurt ;

Longacre, Colleen ;

Hinnenthal, Jennifer ;

Bockstedt, Lindsay .

JAMA CARDIOLOGY, 2021, 6 (10) :1187-1195

[10] Retrieval of the Leadless Cardiac Pacemaker A Multicenter Experience [J].

Reddy, Vivek Y. ;

Miller, Marc A. ;

Knops, Reinoud E. ;

Neuzil, Petr ;

Defaye, Pascal ;

Jung, Werner ;

Doshi, Rahul ;

Castellani, Mark ;

Strickberger, Adam ;

Mead, R. Hardwin ;

Doppalapudi, Harish ;

Lakkireddy, Dhanunjaya ;

Bennett, Matthew ;

Sperzel, Johannes .

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2016, 9 (12)

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