Document Detail

Facilitated minimally invasive left ventricular epicardial lead placement.
MedLine Citation:
PMID:  15734427     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Atrial-synchronized biventricular pacing is an effective treatment option in patients with heart failure and interventricular conduction delay. Owing to a failed transvenous implantation in some patients, the left ventricular (LV) lead has to be placed surgically, usually by an anterolateral thoracotomy. We used a novel malleable epicardial lead placement tool (Epicardial Lead Implant Tool, Model 10626; Medtronic, Minneapolis, MN) that facilitates lead placement on the posterior aspect of the LV through an anterolateral minithoracotomy. DESCRIPTION: The tool consists of a malleable steel shaft with distal gripping tongs for the epicardial lead. Proximally, a thumbwheel and an actuator button allow fixation and release of the lead on the myocardium. EVALUATION: We used this tool in 7 patients through an anterolateral minithoracotomy. All patients had a safe, successful, and rather short procedure. No scopes were required. CONCLUSIONS: Epicardial LV lead placement through an anterolateral minithoracotomy is facilitated by using the Lead Implant Tool. Lead placement is achieved by the malleable shaft design, which enables perpendicular implantation of the lead pad on the posterior LV surface with an anterolateral approach.
Nicolas Doll; Ulrich T Opfermann; Ardawan J Rastan; Thomas Walther; Hendrik Bernau; Jan F Gummert; Friedrich W Mohr
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  79     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-02-28     Completed Date:  2005-12-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1023-5; discussion 1025     Citation Subset:  AIM; IM    
Department of Cardiac Surgery, Heartcenter, University of Leipzig, Leipzig, Germany.
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MeSH Terms
Defibrillators, Implantable*
Electric Countershock / methods
Equipment Design
Middle Aged
Surgical Procedures, Minimally Invasive
Thoracotomy* / methods
Comment In:
Ann Thorac Surg. 2006 Jan;81(1):407   [PMID:  16368428 ]
Ann Thorac Surg. 2006 Jan;81(1):407-8   [PMID:  16368427 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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