[Alternative method for cardiac resynchronization: transapical lead implantation].
Coronary sinus lead placement for transvenous left ventricular pacing in cardiac resynchronization has significant failure rate at implant and significant dislocation rate during follow-up. Alternative methods are necessary for these patients. We aim to describe a fundamentally new approach using transapical implantation of an active fixation endocardial pacing lead. This technique is based on direct puncture of the left ventricular apex using standard Seldinger technique. The tip of the lead is positioned with intracavitary navigation under fluoroscopy. This method offers various advantages, because it is minimally invasive, provides endocardial pacing and does not involve the mitral valve.
Kassai
Imre
I
Gottsegen György Országos Kardiológiai Intézet Budapest.
Földesi
Csaba
C
Székely
Andrea
A
Mihalik
Csilla
C
Szili-Török
Tamás
T
D002304:Cardiac Pacing, Artificial / Q000379:methods*; D054326:Coronary Sinus; D004452:Echocardiography; D004562:Electrocardiography; D004567:Electrodes, Implanted; D005471:Fluoroscopy; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D010138:Pacemaker, Artificial; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000628:therapy