Left Ventricular Lead Placement Targeted at the Latest Activated Site Guided by Electrophysiological Mapping in Coronary Sinus Branches Improves Response to Cardiac Resynchronization Therapy

2015 ◽  
Vol 26 (12) ◽  
pp. 1333-1339 ◽  
Author(s):  
YANCHUN LIANG ◽  
HAIBO YU ◽  
WEIWEI ZHOU ◽  
GUOQING XU ◽  
YI SUN ◽  
...  
Keyword(s):  
Cardiac Resynchronization Therapy ◽  
Coronary Sinus ◽  
Left Ventricular ◽  
Left Ventricular Lead ◽  
Cardiac Resynchronization ◽  
Resynchronization Therapy ◽  
Lead Placement ◽  
Ventricular Lead ◽  
Left Ventricular Lead Placement

scholarly journals Transseptal approach to the implantation of cardiac resynchronization therapy

2018 ◽  
Vol 75 (3) ◽  
pp. 326-329
Author(s):  
Mihailo Vukmirovic ◽  
Lazar Angelkov ◽  
Irena Tomasevic-Vukmirovic ◽  
Filip Vukmirovic
Keyword(s):  
Cardiac Resynchronization Therapy ◽  
Coronary Sinus ◽  
Left Ventricular ◽  
Left Ventricular Lead ◽  
Cardiac Resynchronization ◽  
Resynchronization Therapy ◽  
Lead Placement ◽  
Ventricular Lead ◽  
Transseptal Approach ◽  
Left Ventricular Lead Placement

Introduction. In patients with cardiac resynchronization therapy left ventricular lead is usually placed through a tributary vein of the coronary sinus. However, when this approach failed, the atrial transseptal approach is mostly used for endovascular left ventricular lead placement, but it is quite difficult to perform. Case report. 59-years-old patient, male, was hospitalized due to endovascular left ventricular lead placement by atrial transseptal approach, after failed attempt via coronary sinus vein. Non-ischemic dilated cardiomiopathy was verified 1 year ago. Endoventricular lead was introduced by left subclavian approach and advanced through the previously punctured hole in the left atrium cavity and over mitral valve placed in posterolateral part of left ventricular. Both right ventricular defibrillator lead and atrial electrode were implanted routinely in the right ventricle septum and right atrial appendage. Conclusion. Left ventricular endocardial lead implantation by atrial transseptal approach is a feasible and safe in patients with previously failed implantation via tributary vein of the coronary sinus.

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