LV epicardial lead placement at time of cardiac surgery ...

We reviewed the experience of LV epicardial lead placement in terms of eventual utility in CRT device therapy, characteristics and outcomes. Methods. All patients undergoing surgical LV epicardial lead placement from July 2012–July 2017 at Auckland City Hospital were retrospectively included.

Left ventricular stimulation | Cardiocases

LEFT VENTRICULAR STIMULATION The left ventricle can be stimulated from 4 different approaches: 1) subepicardial, with the lead implanted transvenously via a coronary sinus tributary, 2) endocardial, with the lead implanted transseptally, 3) epicardial, with the lead implanted surgically, and 4) intrapericardial, with the lead implanted transcutaneously.

In summary, robotically assisted LV epicardial lead implantation is a safe and effective technique for CRT in all patients. Clinical response rates and LV remodeling data compare favorably with those achieved with CS leads. It is an invaluable technique allowing for …

lv epicardial lead implantation The innovative Quartet™ quadripolar LV lead is available in four lead shapes, and features four pacing electrodes and up to 14 pacing configurations, enabling left ventricular (LV) pacing at the preferred site without compromising lead stability—giving you a tool to better manage your patients’ heart-failure.

Localization of Left Ventricular Lead Electrodes in ...

We found the LV lead to be actually located in a scar area in 14% of cases, according to previous studies. 10 LV pacing within scar zones has been shown to be associated with acute cardiac dysfunction 12 and absence of response to CRT. 10 The choice of the LV lead implantation site is known to be a key parameter in CRT patients, with a delicate ...

Epicardial Lead Implantation Techniques for Biventricular ...

report describes 3 epicardial lead implantation techniques that are less invasive. Methods: In 80 patients with advanced heart failure and left bundle branch block, epicardial LV leads for ...

Epicardial left ventricular leads via minimally invasive ...

transvenous LV lead implantation [6]. Epicardial LV lead placement can be performed via left anterolateral minithoracotomy, video-assisted thoraco-scopy or with the support of a robotically enhanced tele-Epicardial left ventricular leads via minimally invasive technique: a role …

Epicardial leads have a higher rate of lead failure, which can be difficult to predict. 7–10 At the time of the last surgery in the lv epicardial lead implantation present case, the patient’s RV lead was a 10-year old unipolar epicardial lead. This case highlights the difficult decisions faced during device revision—does one use suboptimal existing leads and risk future ... louis vuitton travel book

Robotically assisted left ventricular epicardial lead ...

15% failure rate of left ventricular (LV) lead placement and effective biventricular pacing (7,8). Lead dislodgement con-tributes to an additional 5% to 10% late failure rate of LV lead capture (9). Rescue therapy for these frail patients has typically involved lv epicardial lead implantation LV epicardial lead placement through a limited anterior thoracotomy.

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