Robotic Epicardial Lv Lead Placement
Jul 04, 2013 · Robot-assisted LV lead placement is an enticing and safe alternative to more invasive epicardial lead surgery in this very-high-risk population of patients with poor ventricular function. Often the enlarged ventricle in these patients presents a technical challenge, which can be safely overcome using robotic epicardial lv lead placement robotic assistance.
Gross anatomic studies have shown a median of six veins from the left ventricle draining into the main CS. 10 The nearest branch to the CS ostium is the middle cardiac vein (MCV), which may be covered by a small valve or originate with a separate ostium. The MCV runs in the interventricular groove toward the ventricular apex and is usually not a suitable target for LV lead placement.
CONCLUSIONS: Robotic LV epicardial lead implantation results in excellent short-term response rates that persist over a 2-year follow-up and are associated with significant LV remodeling. Very poor LV systolic function and early non-response to robotic CRT portends a poor prognosis.
Pacemaker Club: Pacemaker? Leads?
Conclusion: Unsuccessful attempt of LV lead implant or His bundle pacing from the right subclavian vein. Consider epicardial LV lead placement. Procedure: "Attempt LV lead implant. Patient was taken to the EP lab. Venogram was performed which demonstrated patent right subclavian vein. Patient was prepped and draped in sterile fashion.Abstract 9011: Randomized Study of Endovascular versus ...
Introduction: Cardiac resynchronization therapy (CRT) is used to treat heart failure (HF) with prolonged QRS, with the LV lead typically placed transvenously (TV). Because CRT benefit correlates with concordant placement of the LV lead at the site of latest contraction, we hypothesized that epicardial (EPI) lead placement using a (robotic) surgical approach would afford more consistent access ...Alternative Techniques for Left Ventricular Pacing in ...
Feb 01, 2014 · The minimally invasive robotic approach to epicardial LV lead placement is associated with 98% acute technical success rate and robotic epicardial lv lead placement can be performed with a low complication rate. A recent study by Kamath et al. with the largest cohort of patients who underwent robotic epicardial LV lead placement report a benefit after 44 months follow‐up and an ...Robotically-assisted Surgery Offers New Approach to CRT
Using the da Vinci Robotic Surgical System (Intuitive Surgical Inc, Sunnyvale, California), a total of 19 epicardial leads were implanted successfully (1 patient received only 1 lead).From first to latest, Billings Clinic provides a complete ...
Sep 16, 2020 · As an example of the kind of services provided by Billings Clinic, Dr. Kraev recently performed the highly specialized, first-of-its-kind VATS epicardial LV lead placement procedure.RECENT POSTS:
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