Transseptal Lv Lead Placement
Improving Cardiac Resynchronisation Therapy | AER Journal
Jun 21, 2019 · In 5–10% of patients, LV lead placement is unsuccessful due transseptal lv lead placement to either CS inaccessibility, high LV pacing thresholds, or phrenic nerve stimulation. 1,2,6 In addition, >50% of patients have only one CS branch that is suitable for lead placement, making it difficult to target LV lead placement to areas of late activation or dyssynchrony in all ...implanted the LV lead through a transseptal approach (8–16). A review of the literature suggests that 100 patients have undergone transseptal procedures, which remain limited by technical difficulties due to the lack of appro-priate instrumentation and by the thromboembolic risk associated with the presence of a lead transseptal lv lead placement inside the LV cavity.
The challenge of left ventricular lead placement: What is ...
The lead must be put in a stable location or there will be no LV pacing. The best position for stability may well be different from the optimum location for pacing. It is common for the placement of the lead tip to either be apical or too close to the phrenic nerve but, in fact, …Epicardial lead placement is an alternative method and \ud if not applicable case reports and small series showed the \ud feasibility of endocardial LV lead implantation. \ud Electroanatomical mapping might be a useful tool transseptal lv lead placement to guide this \ud procedure.Methods and resultsFour patients had undergone \ud endocardial LV lead implantation after ...
Beyond Coronary Sinus Angiography: The Value of Coronary
Nov 17, 2020 · One patient underwent surgical implantation of the LV lead, and the second patient underwent transseptal LV endocardial lead placement. These …SELECT-LV study (2017) - SlideShare
Jul 03, 2017 · Introduction 3 CRT -LV pacing via an coronary sinus is first-line approach 30% to 40% are non-responder 8% to 10% do not receive CRT due to absence of CS targets, occlusion of the upper extremity venous system, phrenic nerve stimulation, or high pacing threshold Use epicardial and transseptal endocardial LV pacing Epicardial lead placement ...55 A HIGHLY EFFECTIVE TECHNIQUE FOR TRANSSEPTAL ENDOCARDIAL LEFT VENTRICULAR LEAD PLACEMENT FOR DELIVERY OF CARDIAC RESYNCHRONISATION THERAPY 1Giulia Domenichini*, 2Ihab Diab, 1Niall Campbell, 1Mehul Dhinoja, 1Ross Hunter, 1Simon Sporton, 1Mark Earley, Richard Schilling. St.
EG LV lead placement was attempted at the site of latest time to peak radial strain by speckle tracking echocardiography. The prespecified primary end point was first HF hospitalization or death. Of 187 New York Heart Association class II to IV patients with HF (62% ischemic; ejection fraction 26±6%; QRS 159±27 ms), 110 were randomized to EG ...
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