{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T12:08:57Z","timestamp":1784030937353,"version":"3.55.0"},"reference-count":6,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T00:00:00Z","timestamp":1771632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T00:00:00Z","timestamp":1771632000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Venous access exhaustion poses a significant challenge for the implantation of intracardiac devices. Epicardial alternatives are often used in these cases, despite their long\u2010term deleterious effects. This case presents a transhepatic approach for left bundle branch pacing in a patient with Ebstein anomaly and a prior Glenn procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following pre\u2010procedural evaluation with triphasic CT, ultrasound\u2010guided hepatic vein puncture was performed. Guidewires were advanced into the right heart chambers, allowing passage of a delivery sheath for physiologic pacing. Atrial lead placement followed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Appropriate electrical parameters were achieved for both atrial and ventricular leads, with effective biventricular resynchronization via selective left bundle branch pacing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The transhepatic approach is a viable alternative when conventional venous access is not available. Although previously described for traditional pacing systems, this report documents the feasibility of left bundle branch pacing for cardiac resynchronization via the transhepatic route.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70185","type":"journal-article","created":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T09:08:26Z","timestamp":1771664906000},"page":"887-890","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transhepatic Left Bundle Branch Area Pacing in a Patient With Ebstein Anomaly and Prior Glenn Surgery: A First Report"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4367-4294","authenticated-orcid":false,"given":"Werner Schlie","family":"Villa","sequence":"first","affiliation":[{"name":"Department of Cardiac Electrophysiology Cardiology Hospital, National Medical Center \u201cSiglo XXI\u201d  Mexico CDMX Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7944-817X","authenticated-orcid":false,"given":"Jos\u00e9 Luis Rico","family":"Rico","sequence":"additional","affiliation":[{"name":"Department of Cardiac Electrophysiology Cardiology Hospital, National Medical Center \u201cSiglo XXI\u201d  Mexico CDMX Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4641-5529","authenticated-orcid":false,"given":"Jes\u00fas Antonio Vera","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Imaging Cardiology Hospital, National Medical Center \u201cSiglo XXI\u201d  Mexico CDMX Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9501-3215","authenticated-orcid":false,"given":"Hugo Enrique Couti\u00f1o","family":"Moreno","sequence":"additional","affiliation":[{"name":"Department of Cardiac Electrophysiology Cardiology Hospital, National Medical Center \u201cSiglo XXI\u201d  Mexico CDMX Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5942-3081","authenticated-orcid":false,"given":"Jos\u00e9 Luis Morales","family":"Vel\u00e1zquez","sequence":"additional","affiliation":[{"name":"Department of Cardiac Electrophysiology Cardiology Hospital, National Medical Center \u201cSiglo XXI\u201d  Mexico CDMX Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9550-4373","authenticated-orcid":false,"given":"Erick S\u00e1nchez","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Cardiac Electrophysiology Cardiology Hospital, National Medical Center \u201cSiglo XXI\u201d  Mexico CDMX Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5215-4629","authenticated-orcid":false,"given":"Marcos Javier Duarte","family":"Sau","sequence":"additional","affiliation":[{"name":"Department of Cardiac Electrophysiology Cardiology Hospital, National Medical Center \u201cSiglo XXI\u201d  Mexico CDMX Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3982-8004","authenticated-orcid":false,"given":"Dalia Chac\u00f3n","family":"Martell","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Cardiology Hospital, National Medical Center \u201cSiglo XXI\u201d  Mexico CDMX Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540\u20108159.1996.tb03424.x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.77.6.574"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v3.i9.835"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euz024"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrcr.2024.01.010"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2025.04.030"}],"container-title":["Pacing and Clinical 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