Experience of implantation of the left ventricular electrode by means of interventricular septum puncture for resynchronization therapy in a patient with heart failure

Autor: O.Z. Paratsii, M. M. Sichik, A.V. Yakushev, R.G. Malyarchuk, Yu.І. Karpenko, B.B. Kravchuk, V.V. Shapovalova, M.M. Petkanych
Rok vydání: 2018
Předmět:
Zdroj: Kardìohìrurgìâ ta Intervencìjna Kardìologìâ, Vol 23, Iss 4, Pp 42-46 (2018)
ISSN: 2305-3127
DOI: 10.31928/2305-3127-2018.4.4246
Popis: The clinical case of implantation of the left ventricular electrode for resynchronization therapy through a puncture of the interventricular septum with fixation in the cavity of the left ventricle is presented. Due to unsuccessful attempts to introduce an electrode for stimulation of the left ventricle at the stage of cannulation of the coronary sinus, this technique is used as an alternative. The necessity of continuous administration of warfarin against the background of the prosthetic mechanical aortic valve provided adequate hypocoagulation and absence of clinical signs of thrombosis during the three-month follow-up period in the postoperative period. The use of a puncture of the interventricular septum for implantation of the left ventricular electrode is a safe and effective alternative in patients with complicated or impossible surgical access to the venous system of the heart.
Databáze: OpenAIRE