Feasibility of left ventricular endocardial lead pacing for cardiac resynchronization therapy

被引：0
|
作者：
Algazzar, Alaa Solaiman [1 ]
Taha, Mohamed Osama [1 ]
Katta, Azza Ali [1 ,2 ]
El Abbady, Asmaa [1 ]
Lotfy, Heba Abdelmoteleb [1 ]
机构：
[1] Natl Heart Inst, Cardiol Dept, Giza Governorate, Egypt
[2] Natl Heart Inst, Ibn Elnafis Sq, Giza Governorate, Egypt
来源：
EGYPTIAN JOURNAL OF CRITICAL CARE MEDICINE | 2018年 / 6卷 / 02期
关键词：
D O I：
10.1016/j.ejccm.2018.05.002
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
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. (C) 2018 The Egyptian College of Critical Care Physicians. Production and hosting by Elsevier B.V.
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页码：53 / 55
页数：3
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