Improving left ventricular pacing threshold using retained guidewire technique: a case report.
Cardiac resynchronization therapy (CRT) is a widely accepted therapeutic modality in a selected group of patients with heart failure. The broad implementation of CRT into clinical practice is hampered by the complexity of the implantation procedure, especially the implantation of left ventricular (LV) lead. We here report a case in which the use of the pacing lead guidewire resulted in a substantial reduction in the pacing threshold of LV lead, and the threshold of LV lead was stable in 12-month follow-up.
Yi
Fu
F
Department of Cardiovascular Medicine, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi 710032, China.
Shen
Min
M
Wu
Feng
F
Yu
Jin
J
Zhang
Jun
J
Liu
Bing
B
D058406:Cardiac Resynchronization Therapy; D004566:Electrodes; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D010369:Pectoralis Muscles / Q000294:innervation; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000503:physiopathology / Q000628:therapy*; D016277:Ventricular Function, Left / Q000502:physiology