Minimal invasive epicardial lead implantation: optimizing cardiac resynchronization with a new mapping device for epicardial lead placement☆
| Autor: | B. Dijkman, B. Phelps, Andre Dekker, Jos G. Maessen |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Pulmonary and Respiratory Medicine
Epicardial lead Pacemaker Artificial medicine.medical_specialty business.industry Cardiac Pacing Artificial General Medicine Electrodes Implanted Surgery Port access Cardiac resynchronization medicine Humans Minimally Invasive Surgical Procedures Cardiology and Cardiovascular Medicine Lead (electronics) business Pericardium Biomedical engineering |
| Zdroj: | European Journal of Cardio-Thoracic Surgery. 25:894-896 |
| ISSN: | 1010-7940 |
| DOI: | 10.1016/j.ejcts.2004.01.055 |
| Popis: | To optimize resynchronization in biventricular pacing with epicardial leads, mapping to determine the best pacing site, is a prerequisite. A port access surgical mapping technique was developed that allowed multiple pace site selection and reproducible lead evaluation and implantation. Pressure-volume loops analysis was used for real time guidance in targeting epicardial lead placement. Even the smallest changes in lead position revealed significantly different functional results. Optimizing the pacing site with this technique allowed functional improvement up to 40% versus random pace site selection. |
| Databáze: | OpenAIRE |
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