title: [Alternative method for cardiac resynchronization: transapical lead implantation].
abstract: 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.
authors.affiliation: Gottsegen György Országos Kardiológiai Intézet Budapest.
authors.forename: Imre
authors.initials: I
authors.lastname: Kassai
authors.forename: Csaba
authors.initials: C
authors.lastname: Földesi
authors.forename: Andrea
authors.initials: A
authors.lastname: Székely
authors.forename: Csilla
authors.initials: C
authors.lastname: Mihalik
authors.forename: Tamás
authors.initials: T
authors.lastname: Szili-Török
mesh_terms: 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