Feasibility of left ventricular endocardial lead pacing for cardiac resynchronization therapy

Autor: Alaa Solaiman Algazzar, Mohamed Osama Taha, Azza Ali Katta, Asmaa El Abbady, Heba Abdelmoteleb Lotfy
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Egyptian Journal of Critical Care Medicine, Vol 6, Iss 2, Pp 53-55 (2018)
Druh dokumentu: article
ISSN: 2090-7303
DOI: 10.1016/j.ejccm.2018.05.002
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: Directory of Open Access Journals