A Novel Approach to Transvenous Dual-Chamber Pacing Lead Placement and Cardiac Defibrillator Implantation After Tricuspid Valve Replacement
| Autor: | Roberto Lufschanowski, J. Alberto Lopez |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Pacemaker Artificial medicine.medical_specialty Percutaneous Defibrillation medicine.medical_treatment Middle Cardiac Vein Prosthesis Implantation Physiology (medical) Internal medicine medicine Humans cardiovascular diseases Thoracotomy Tetralogy of Fallot Heart Valve Prosthesis Implantation Tricuspid valve Cardiac Vein business.industry medicine.disease Defibrillators Implantable Electrodes Implanted Treatment Outcome medicine.anatomical_structure Tachycardia Ventricular cardiovascular system Cardiology Female Tricuspid Valve Cardiology and Cardiovascular Medicine Lead Placement business |
| Zdroj: | Journal of Cardiovascular Electrophysiology. 19:873-875 |
| ISSN: | 1540-8167 1045-3873 |
| DOI: | 10.1111/j.1540-8167.2007.01059.x |
| Popis: | Pacing and Defibrillation Therapy. We report the successful use of a percutaneous, totally transvenous endocardial approach to atrioventricular pacing and internal cardiac defibrillation in an adult patient with tetralogy of Fallot who had undergone three previous cardiac operations, including a tricuspid valve replacement. Ventricular pacing and sensing were achieved with a bipolar lead in the lateral cardiac vein, and atrial pacing was attained in the region of Bachmann's bundle. Internal defibrillation was achieved with a coil lead in the middle cardiac vein and an "active can" pulse generator in the retromammary position. This minimally invasive method has significant potential benefits because it avoids epicardial placement via a thoracotomy and allows endocardial placement without crossing the tricuspid valve. |
| Databáze: | OpenAIRE |
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