Feasibility of left ventricular endocardial lead pacing for cardiac resynchronization therapy
Autor: | Azza Ali Katta, Heba Abdelmoteleb Lotfy, Alaa Solaiman Algazzar, Mohamed O. Taha, Asmaa El Abbady |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Phrenic nerve stimulation business.industry medicine.medical_treatment Cardiac resynchronization therapy lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 030204 cardiovascular system & hematology Endocardial lead Critical Care and Intensive Care Medicine medicine.disease 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Cardiology cardiovascular system 030211 gastroenterology & hepatology cardiovascular diseases Ventricular dyssynchrony business Lead (electronics) Coronary sinus |
Zdroj: | Egyptian Journal of Critical Care Medicine, Vol 6, Iss 2, Pp 53-55 (2018) |
ISSN: | 2090-7303 |
Popis: | Biventricular resynchronization therapy is recommended for patients presenting with left ventricular (LV) dysfunction and ventricular dyssynchrony. Implantation of a left ventricular (LV) lead fails in 5%–10% of patients in whom cardiac resynchronization therapy (CRT) is attempted. Conventional approach is not feasible due to anatomic abnormalities in coronary sinus (CS) and its branches or due to high pacing thresholds or phrenic nerve stimulation. We present a case of a 62 year old male in which, LV lead implantation through CS was failed and LV lead implantation was done via transseptal approach. We described that LV endocardial pacing is an alternative to CS pacing and needs a long-term follow up. |
Databáze: | OpenAIRE |
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