Six year experience of transvenous left ventricular lead implantation for permanent biventricular pacing in patients with advanced heart failure: technical aspects

Alonso, Christine; Leclercq, C.; d'Allonnes, F Revault; Pavin, Dominique; Victor, Frédéric; Mabo, Philippe; Daubert, Jean‐Claude

doi:10.1136/heart.86.4.405

Cited by 227 publications

(138 citation statements)

References 18 publications

Supporting

Mentioning

122

Contrasting

Unclassified

Order By: Relevance

“…5 In the present case, we encountered a high stimulation threshold in the anterolateral vein and diaphragmatic stimulation in the posterolateral vein and had to place the lead in the great cardiac vein.…”

Section: Discussionmentioning

confidence: 99%

First Case Report in Japan of Left Ventricular Pacing via a Coronary Vein in a Patient With a Mechanical Tricuspid Valve

Yoda

Nakai

Okubo

et al. 2008

Circ J

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

First Case Report in Japan of Left Ventricular Pacing via a Coronary Vein in a Patient With a Mechanical Tricuspid Valve

Yoda

Nakai

Okubo

et al. 2008

Circ J

View full text Add to dashboard Cite

“…The rate of unsuccessful LV lead implantation is reported to be 8% -12% [6]. When transvenous lead implantation fails, surgical implantation of LV electrode is mandatory [7].…”

Section: Discussionmentioning

confidence: 99%

Surgical Results of Left Ventricular Lead Implantation for Cardiac Resynchronization Therapy

Gür¹,

Gürkan²,

Gür³

et al. 2013

WJCS

View full text Add to dashboard Cite

Objectives: Cardiac resynchronisation therapy (CRT) has proven its effectiveness in patients with symptomatic heart failure [1,2]. Although rewarding, the procedure of biventricular pacemaker implantation is challenging and subsequently fails in 8% -11% of patients. In patients whose left ventricular (LV) electrode cannot be placed transvenously, surgical implantation of an epicardial electrode can be achieved. Methods: Seventeen patients (14 male, 3 female), among whom LV electrode was failed to be placed transvenously, were included into our study. The epicardial LV electrodes were implanted through anterior mini thoracotomy. The patients were followed up for approximate six months and complications, ejection fraction (EF), New York Heart Association (NYHA) class, QRS durations as well as pacing parameters were recorded. Results: Mean age of the patients was 64.4 ± 7.01 (54 -79) years. Preoperative mean EF of the patients was 26.1% ± 3.7%. The LV electrode was placed at the optimal place on the lateral LV wall through left sided mini thoracotomy. The mean duration of the operation was 26.76  8.12 minutes and the mean hospital stay was 2.05  0.42 days. There were no intraoperative or postoperative complications. Only 1 patient had LV electrode displaced on the 3rd postoperative month and the patient was reoperated successfully. The EF on the 6th postoperative month was 29.4% ± 3.81% and NYHA class was 2.58 ± 0.5. The etiology of heart failure had no influence on outcome. Conclusions: Surgical implantation of LV lead is associated with low complication rates and excellent follow-up results without exposure to radiation. Thus epicardial leads can be proposed as equal alternative to transvenous leads.

show abstract

“…[3][4][5] We often encounter the following dilemma: the lead is placed at the target site and a good threshold value is obtained but diaphragmatic stimulation forces us to abandon the site. Even when diaphragmatic stimulation can be resolved by adjusting the position from a middle to more proximal site, lead dislodgement into the main vessel may occur as in this case.…”

Section: Discussionmentioning

confidence: 99%

Stent placement to stabilize the left ventricular lead in the coronary sinus

et al. 2008

View full text Add to dashboard Cite

Recently, cardiac resynchronization therapy (CRT) has been established as an effective treatment for drug-resistant heart failure with left ventricular dyssynchrony in patients with a New York Heart Association class (NYHA) of III-IV. Many cases have already been treated with CRT in Japan, however, some challenges still remains, such as difficult placement of the left ventricular (LV) lead at the target site, high threshold values even after successful placement of the LV lead, and the need to reposition of the LV lead due to diaphragmatic stimulation regardless of an appropriate threshold value. In particular, those cases with high threshold values at a distal site or those in which the lead is placed at a proximal site because of diaphragmatic stimulation are prone to lead dislodgement, and re-operation may be required. We report on a patient in whom stabilization of the LV lead was obtained by placing a coronary stent in the coronary sinus wall which resulted in an improved clinical course. (J Arrhythmia 2008; 24: 162-165)

show abstract

Six year experience of transvenous left ventricular lead implantation for permanent biventricular pacing in patients with advanced heart failure: technical aspects

Cited by 227 publications

References 18 publications

First Case Report in Japan of Left Ventricular Pacing via a Coronary Vein in a Patient With a Mechanical Tricuspid Valve

First Case Report in Japan of Left Ventricular Pacing via a Coronary Vein in a Patient With a Mechanical Tricuspid Valve

Surgical Results of Left Ventricular Lead Implantation for Cardiac Resynchronization Therapy

Stent placement to stabilize the left ventricular lead in the coronary sinus

Contact Info

Product

Resources

About