Cryoballoon left atrial roof block creation leveraging the left atrial roof vein

We introduce a fast and easy method of successfully grasping a lead without a free end called the “Wire ThRoUgh Snare Twice (Wire TRUST)” technique in a 49-year-old male patient who required transvenous lead extraction (TLE) and lead replacement due to lead malfunction. Our proposed technique is less difficult than using the Needle’s eye snare because the pigtail catheter is softer and has better operability. The Wire TRUST technique promptly allows a combined superior and femoral approach for TLE, even when the lead tip is difficult to free because of severe adhesion.

We report a case of a 52-year old patient complaining of palpitations and syncope. His heart rate trends from his Apple Watch SE suggested two types of tachycardia, and we successfully performed ablation for both of them in a single session. Our case demonstrates the cardiological potential of smart watches.

We describe a case of permanent pacemaker implantation in a 59-year-old male with subclavian vein occlusion undergoing hemodialysis. The balloon-target puncture technique aided successful and safe transvenous permanent pacemaker implantation.

We describe a case of ICM implantation in a 74-year-old woman with SIT and ESUS for detection of AF. ICM implantation was performed successfully without any complications. AF was detected at 28 days after ICM insertion. ICMs can be safely implanted in patients with SIT, allowing successful detection of AF.