Content for healthcare professionals only
Rhythm Interventions Online
The world's largest virtual arrhythmia event
Content for healthcare professionals only
Session 3.15 - Case & Discussion: Breaking Tradition: Non-Femoral Access in the Leadless Era
Chaired by Devi Nair (Jonesboro, US), this session focuses on alternative access for leadless pacing, with a case presentation by Mikhael El-Chami (Emory University Hospital Midtown, Atlanta, US) demonstrating an internal jugular (IJ) approach. Mikhael El-Chami explains the anatomical benefits of the IJ route for crossing the tricuspid valve and targeting the septum, particularly in patients with difficult venous anatomy or IVC filters. Panelists Mikhael El-Chami and Nicholas Olson (La Jolla, US) discuss lab setup modifications such as table orientation, hemostasis techniques using figure-of-eight sutures, and the learning curve associated with non-femoral access
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