| New method for cardiac resynchronization therapy: transapical endocardial lead implantation for left ventricular free wall pacing. | |
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MedLine Citation:
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PMID: 18424457 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Coronary sinus lead placement for transvenous left ventricular (LV) pacing in cardiac resynchronization therapy (CRT) has a significant failure rate at implant and a significant dislocation rate during follow-up. For these patients, epicardial pacing lead implantation is the most frequently used alternative. The aim of this case report is to describe a fundamentally new approach for the endocardial LV lead implantation. An epicardial lead implantation was planned, but after thoracotomy, extensive pericardial adhesions were found. An active fixation lead was placed into the LV cavity using the standard Seldinger technique through the LV apex. After an uneventful post-operative period at the 3- and 6-month follow-up visits, the patient had effective CRT with unchanged pacing parameters. In conclusion, this is the very first report showing feasibility of transapical LV lead implantation. |
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Authors:
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Imre Kassai; Csaba Foldesi; Andrea Szekely; Tamas Szili-Torok |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-04-17 |
Journal Detail:
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Title: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology Volume: 10 ISSN: 1532-2092 ISO Abbreviation: Europace Publication Date: 2008 Jul |
Date Detail:
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Created Date: 2008-06-23 Completed Date: 2008-09-18 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 100883649 Medline TA: Europace Country: England |
Other Details:
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Languages: eng Pagination: 882-3 Citation Subset: IM |
Affiliation:
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Gottsegen Gyorgy Hungarian Institute of Cardiology, Haller utca 29, 1096 Budapest, Hungary. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiac Pacing, Artificial / methods* Cardiovascular Surgical Procedures / methods Endocardium / physiology, surgery* Equipment Failure Heart Ventricles / surgery* Humans Male Pacemaker, Artificial* Ventricular Function |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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