Transseptal Lv Lead Placement
Coronary sinus (CS) lead placement is the first-line clinical approach but the insertion is unsuccessful in about 5-10% of the patients. In recent years, the number of CRT recipients and the considerable need for left ventricular (LV) lead revisions increased enormously.
A streamlined technique of trans-septal endocardial left ...
Apr 22, 2009 · Trans-septal endocardial left ventricular (LV) lead placement has been used for LV pacing in transseptal lv lead placement a small number of patients, partially due to difficulty in achieving the aim in practice. Based on analysis of the pre-existent techniques and exploitation of the latest developments in lead technologies, a new technique for trans-septal endocardial LV lead placement was devised.Introduction. Left ventricular (LV) endocardial pacing is a relatively new therapy that may offer several advantages over coronary venous lead placement for biventricular resynchronization therapy, including access to more regions of the transseptal lv lead placement LV, faster impulse propagation, avoidance of phrenic nerve stimulation, and more physiologic LV activation.1 We report a case of transseptal implantation of a ...
Transseptal endocardial CRT: An evolving approach for ...
Most endovascular LV endocardial lead placement techniques use an atrial transseptal approach. However, the earlier implantation techniques were quite difficult to perform. At the last Cardiostim/EHRA Europace meeting in Nice (18–21 June 2014), two new techniques were presented, both using a transseptal puncture.Sep 13, 2013 · Left Ventricular Lead Replacement You should code what the physician transseptal lv lead placement did: Remove LV lead, Insert new LV lead. The removal code will depend on what type of system the patient had: single chamber, dual chamber. 33234 Removal electrode single lead system (atrial or ventricular) or 33235 removal electrode dual lead system (atrial and ventricular). m60895
We describe a new technique for delivery of a transseptal LV lead. Methods: Patients (pts) with class 1 indication for CRT and a previous failed attempt at conventional LV lead placement via the coronary sinus were offered this procedure. All pts were anticoagulated with Warfarin.
lead placement for biventricular resynchronization therapy, including access to more regions of the LV, faster impulse propagation, avoidance of phrenic nerve stimulation, and more physiologic LV activation.1 We report a case of transseptal implantation of a pacing lead in the LV chamber from a superior
Left Ventricular Endocardial Pacing for Heart Failure ...
Feb 24, 2016 · This study describes preliminary results of placement of an LV endocardial pacing lead with an investigational lead delivery system via atrial transseptal approach. The pacing lead used was a Medtronic Model 3830 SelectSecure, which is currently approved for …BACKGROUND: Transseptal (TS) endocardial left ventricular (LV) lead placement may be needed for cardiac resynchronization therapy, and often requires crossing a preformed puncture in the interatrial septum (IAS) with a lead delivery catheter inserted from an upper body vein (UBV), which can be difficult or impossible to achieve by manipulation from its hub.
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