Surgical Lv Lead Placement
Surgical epicardial lead placement was anticipated to be challenging given pericardial adhesion. Left ventricular pacing with conventional coronary vein lead1 and His-bundle pac-ing2 are generally feasible. Another option would be LV endocardial pacing via transseptal route which is contraindicated in this case
May 29, 2015 · Presence of scar in the posterior–lateral LV, the region typically targeted for LV lead placement, was shown to reduce rates of clinical response and reverse remodelling of the LV in several trials. 29–32 An LV lead with its tip in such an area of scar is less likely to effectively pace the LV. 33 Despite these findings, pre-implant cardiac ...
The two patients (8%) with high pacing thresholds despite implantation of the quadripolar lead finally underwent surgical epicardial LV lead placement via minimal lateral thoracotomy during follow-up (pt #1 experienced dislocation of the quadripolar lead (1/26=3.9% dislocation rate), and pt #2 had a further increase of the pacing threshold).
Cardiac Resynchronization Therapy for a Patient With ...
Outcome of surgical left ventricular (LV) lead placement is not well defined in patients with failed percutaneous cardiac resynchronization therapy. An extended experience with epicardial LV lead ...Jul 01, 2007 · These include minimally invasive surgical alternatives (minithoracotomy, video-assisted thoracoscopic surgery, and robotically assisted placement surgical lv lead placement of LV leads), minimally invasive subxiphoid epicardial approach, transseptal endocardial left ventricular lead implantation, and bifocal right ventricular pacing (9, 30-35).
Surgical epicardial lead placement is associated with a higher upfront morbidity and mortality. 9 Hence, an IPL that can be introduced percutaneously has appeal. Leads have been placed in pediatric patients by percutaneous subxiphoid pericardial access or via a small surgical subxiphoid incision to access the pericardial space. 10 , 11 In the ...
Management of Venous Occlusion: Tunneling, Venoplasty and ...
• Thus 435 patients had an LV lead related procedure (add or replace a lead) – 89% success thus 47 patients had failed LV lead placement – 4 deaths occurred at the time of surgical LV lead placement • 8.5% (4/47) surgical mortality if all 47 went for a surgical lead October 8, 2010 Management of Venous Occlusion 2010 surgical lv lead placement Seth J Worley MDIndian Pacing and Electrophysiology Journal - McManus
Surgical lead removal or lifelong anticoagulation should be considered for patients in whom the diagnosis of inadvertent LV lead placement is delayed. References 1. Engstrom A, Holmberg B, Mansson A, Carslsson J. Inadvertent malposition of a transvenous pacing lead in the left ventricle. Herzschrittmacherther Elektrophysiol 2006; 17:221-224. 2.RECENT POSTS:
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