Long-Term Follow-Up of Isolated Epicardial Left Ventricular Lead Implant Using a Minithoracotomy Approach for Cardiac Resynchronization Therapy
| Autor: | Christopher J McAloon, Wadih Dimitri, Shamil Yusuf, Faizel Osman, Jonathan Panting, Sunil K. Bhudia, Benjamin Anderson |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Septic shock business.industry medicine.medical_treatment Cardiac resynchronization therapy Retrospective cohort study General Medicine 030204 cardiovascular system & hematology medicine.disease Intraoperative Hemorrhage Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Internal medicine medicine Cardiology Pericardium 030212 general & internal medicine Thoracotomy Implant Cardiology and Cardiovascular Medicine Lead Placement business |
| Zdroj: | Pacing and Clinical Electrophysiology. 39:1052-1060 |
| ISSN: | 0147-8389 |
| DOI: | 10.1111/pace.12932 |
| Popis: | BACKGROUND Transvenous left ventricular (LV) lead placement for cardiac resynchronization therapy is unsuccessful in 5-10% of reported cases. These patients may benefit from isolated surgical placement of an epicardial LV lead via minithoracotomy approach. AIM To evaluate the success of this approach at long-term follow-up. METHODS Retrospective evaluation of all consecutive patients undergoing isolated epicardial LV lead placement after failed transvenous attempt over a 6-year period. Data collected on baseline parameters, procedural details, and outcome at follow-up (hospital stay, complications, mortality, and clinical response). RESULTS Forty-two patients underwent epicardial lead implant. Five died within 1 year (11.9%): two (4.8%) died within 30-days post op (one from intraoperative hemorrhage, the other from multiple organ failure); 39 (95.1%) were admitted to the high dependency unit and transferred to the ward |
| Databáze: | OpenAIRE |
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