Document Detail

Minimal invasive epicardial lead implantation: optimizing cardiac resynchronization with a new mapping device for epicardial lead placement.
MedLine Citation:
PMID:  15082303     Owner:  NLM     Status:  MEDLINE    
To optimize resynchronization in biventricular pacing with epicardial leads, mapping to determine the best pacing site, is a prerequisite. A port access surgical mapping technique was developed that allowed multiple pace site selection and reproducible lead evaluation and implantation. Pressure-volume loops analysis was used for real time guidance in targeting epicardial lead placement. Even the smallest changes in lead position revealed significantly different functional results. Optimizing the pacing site with this technique allowed functional improvement up to 40% versus random pace site selection.
J G Maessen; B Phelps; A L A J Dekker; B Dijkman
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  25     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-04-14     Completed Date:  2004-06-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  894-6     Citation Subset:  IM    
Department of Cardio Thoracic Surgery, Cardiovascular Research Institute Maastricht, University Hospital Maastricht, Maastricht, The Netherlands.
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MeSH Terms
Cardiac Pacing, Artificial / methods*
Electrodes, Implanted
Pacemaker, Artificial
Pericardium / surgery
Surgical Procedures, Minimally Invasive / instrumentation,  methods

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