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.
During the initial admission, the biventricular device and two leads were implanted. However, after multiple attempts, third lead insertion into the left ventricle (LV) was unsuccessful. The patient is now being readmitted two weeks later for placement of LV epicardial lead via thoracotomy.
ACUITY™ X4 Quadripolar LV Leads. New Solutions. Meaningful Outcomes. ACUITY™ X4 Quadripolar LV leads are the first and only LV leads uniquely designed to promote non-apical pacing options, helping physicians to pace from an optimal site for improved CRT response.
All patients undergoing surgical LV epicardial lead placement from July 2012–July 2017 at Auckland City Hospital were retrospectively included. The decision lv epicardial lead for LV epicardial lead replacement was made pre-operatively at the multidisciplinary cardiosurgical meeting …
Dec lv epicardial lead 11, 2009 · Site-specific twelve-lead ECG features to identify an epicardial origin for left ventricular tachycardia in the absence of myocardial infarction. Heart Rhythm. 2007; 4: 1403–1410. Crossref Medline Google Scholar louis vuitton outlet
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