Follow-Up of Robotically Assisted Left Ventricular ...

To the Editor:Cardiac resynchronization therapy (CRT) via coronary sinus (CS) lead placement has been shown to improve heart failure (HF) symptoms ().However, a 5% to 10% implant failure rate has resulted in alternative approaches for optimal CRT. Robotically assisted left ventricular (LV) epicardial lead placement via the posterior approach was developed by our group as a minimally invasive ...

Minimally invasive epicardial left ventricular lead ...

This article is from Journal of Cardiothoracic Surgery, volume 9. Abstract Background: In cases of intravenous placement failure of the left ventricular (LV) lead for cardiac resynchronisation therapy (CRT) and obliteration of the left pleural space, the alternative approach of transthoracic placement by video-assisted left vats lv epicardial lead placement thoracoscopic surgery (VATS) is difficult and not commonly practiced.

Epicardial lead - Porcine heart Shown here is an external view of an epicardial lead sewn onto the lateral wall of the left ventricle (LV).

Sep 27, 2017 · For open, transdiaphragmatic epicardial lead placement, the left ventricular wall is most often used. 12 However, the accessible zone for implantation from the left cannula is quite close to the interventricular septum, but it is very difficult to reach the left ventricle via this approach; it is easier to insert the lead directly in line with ...

Background: Epicardial placement of the left ventricular (LV) lead via a video-assisted thoracoscopic (VAT) approach is an alternative to the standard transvenous technique. lv bandeau used

Cardiac resynchronization therapy using a left ventricular (LV) lead inserted via the coronary sinus (CS) improves symptoms of congestive heart failure, decreases hospitalizations, and improves survival. An epicardial LV lead is often placed surgically after a failed percutaneous attempt, but whether it offers the same benefits is unknown.

The challenge of left ventricular lead placement: What is ...

The lead must be put in a stable location or there will be no LV pacing. The best position for stability may well be different from the optimum location for pacing. It is common for the placement of the lead tip to either be apical or too close to the phrenic nerve but, in fact, …

Left Ventricular Lead Implantation | Clinical Gate

Jun 21, 2015 · Utilizing pressure-volume loops, Dekker et left vats lv epicardial lead placement al. 38 found epicardial sites that “did not significantly change left ventricular function and even worsened it in some cases.” 38 If surgical placement is attempted, the surgeon needs the same dedication as the implanting physician to place the LV lead in the appropriate location with good thresholds.

Minimally invasive epicardial left ventricular lead ...

Apr 10, 2014 · In cases of intravenous placement failure of the left ventricular (LV) lead for cardiac resynchronisation therapy (CRT) and obliteration of the left pleural space, the alternative approach of transthoracic placement left vats lv epicardial lead placement by video-assisted thoracoscopic surgery (VATS) is difficult and not commonly practiced. Here, we present a simple technique for transthoracic introduction of an epicardial LV lead ...

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