Key result
Right-sided multipolar catheter and bipolar lead improve QRS and HF symptoms following CRT-P in dextrocardia.
Why the study?
Cardiac resynchronization therapy pacemaker placement and coronary sinus cannulation are notably challenging in dextrocardia, requiring unconventional strategies.
Does CRT-P placement using a right-sided multipolar catheter and bipolar lead improve QRS, EF, and symptoms in a patient with dextrocardia and HFrEF?
Does CRT-P placement using a right-sided multipolar catheter and bipolar lead improve QRS, EF, and symptoms in a patient with dextrocardia and HFrEF?
A right-sided coronary sinus cannulation system and bipolar lead are useful and effective strategies for CRT-P implantation in patients with dextrocardia.
No takes yet. Share an insight, caveat, or question.
Right-sided multipolar leads may warrant consideration for CRT in dextrocardia; extends options in complex anatomy but leaves open confirmatory trials.
Khasnavis et al. (2026) studied this question. A right sided multipolar catheter and bipolar lead effectively improved QRS duration and heart failure symptoms in a patient with dextrocardia after CRT-P placement.
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