Transseptal left ventricular lead placement using snare technique

Autor:	Gary A, Wright, David R, Tomlinson, Ian, Lines, Edward J, Davies, Guy A, Haywood
Rok vydání:	2012
Předmět:	Aged 80 and over Heart Failure Male Treatment Outcome Fluoroscopy Heart Ventricles Operative Time Heart Septum Humans Cardiac Resynchronization Therapy Devices Subclavian Vein Aged Electrodes Implanted
Zdroj:	Pacing and clinical electrophysiology : PACE. 35(10)
ISSN:	1540-8159
Popis:	Coronary sinus (CS) lead placement for cardiac resynchronization therapy has a failure rate of ∼5-10%. Here we describe a way of implanting an endocardial left ventricular (LV) lead via a transseptal puncture (TSP), using a GooseNeck snare and active fixation lead.Three male patients (67-83 years) with failed or extracted epicardial LV leads implanted via the CS had an endocardial LV lead implanted. TSP was performed via a femoral vein. The active fixation pacing lead was advanced to the right atrium from a subclavian vein. A GooseNeck snare was passed via the TSP sheath and used to grasp the tip of the pacing lead. The sheath, GooseNeck snare, and pacing lead tip were then passed to the left atrium by sliding the system up the TSP guidewire and across the interatrial septum before deflecting the lead to permit implantation in the left ventricle.Successful implantation was performed in all patients with an LV implant time of 25-55 minutes.The use of a GooseNeck snare via a deflectable transseptal sheath represents a reliable alternative method for endocardial LV lead placement in patients with failed CS LV lead implantation.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::9a3bb11dc686db13b11af8301391e475 https://pubmed.ncbi.nlm.nih.gov/22924789 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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