Endocardial biventricular pacing via a transseptally introduced LV lead was successfully performed in a 73-year-old man, offering an alternative to epicardial LV pacing.
Case Report (n=1)
Is transseptal endocardial LV lead placement feasible for biventricular pacing when coronary sinus access is unsuccessful?
Transseptal endocardial LV lead placement offers an alternative approach for multisite pacing when coronary sinus access fails.
Simultaneous right and left ventricular pacing was performed in a 73-year-old man with coronary artery disease end-stage congestive heart failure and a DDD pacemaker implanted for sick sinus syndrome. An endocardial LV lead was introduced transseptally after unsuccessful attempts to enter the coronary sinus. This new approach for multisite pacing offers an alternative to epicardial LV from the coronary sinus or by thoracotomy.
JAÏS et al. (Sun,) conducted a case report in Coronary artery disease, end-stage congestive heart failure, and sick sinus syndrome (n=1). Endocardial biventricular pacing via transseptal LV lead was evaluated. Endocardial biventricular pacing via a transseptally introduced LV lead was successfully performed in a 73-year-old man, offering an alternative to epicardial LV pacing.