I am 3 weeks post op from a mini-thoracotomy to place epicardial left ventricular leads for CRT. I had previously had a endocardial lv epicardial lead placement LV lead placed 8 years ago. It was not working optimally and was draining generators within 3-4 years. I am on my 4th device since 1st placement in 2008. I have a complete heart block, Class II-III heart failure.
Effective lead placement was limited by the availability of only unipolar and bipolar leads. The lead had to be put in a place where we could wedge it into the venous anatomy. Only recently, has a new option been available: quadripolar left ventricular leads. The development of quadripolar leads …
Epicardial lead - Porcine heart Shown here is an external view of an epicardial lead sewn onto the lateral wall of the left ventricle (LV).
Sep 13, 2013 · Left Ventricular Lead Replacement You should code what the physician did: Remove LV lead, Insert new LV lead. The removal code will depend on what type of system the patient had: single chamber, dual chamber. 33234 Removal electrode single lv epicardial lead placement lead system (atrial or ventricular) or 33235 removal electrode dual lead system (atrial and ventricular).
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