Caudocranial transseptal approach for placement of endocardial left ventricular leads.

Abstract:

:Cardiac resynchronization therapy (CRT) is associated with improvement in the quality of life, hospitalization rates, and mortality in patients with left ventricular dysfunction and evidence of the right ventricle-left ventricle (RV-LV) desynchrony. Implant failure rates and patient outcomes have improved with the advent of quadripolar leads, yet alternatives to traditional coronary sinus (CS) LV lead placement is sought for in a subset of advanced heart failure patients with difficult CS anatomy, phrenic nerve stimulation or in nonresponders. Endocardial left ventricular pacing (EnLVP) in chronically anticoagulated patients has been reported as an alternative using different approaches, techniques, and tools with acceptable short and long term adverse events. We present a case of successful EnLVP achieved for CRT using standard techniques and commonly available tools in a patient on chronic direct oral anticoagulation with recurrent heart failure admissions who failed traditional epicardial LV pacing.

authors

Sinno MC,Carrigan T,Hays JC

doi

10.1111/jce.14644

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

2216-2221

issue

8

eissn

1045-3873

issn

1540-8167

journal_volume

31

pub_type

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