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 |
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Rok vydání: | 2018 |
Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty business.industry resynchronization therapy medicine.disease medicine.anatomical_structure lcsh:RC666-701 Heart failure Internal medicine cardiovascular system medicine Cardiology General Earth and Planetary Sciences cardiovascular diseases left ventricular stimulation Interventricular septum business General Environmental Science |
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 |
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