Key result
Transvenous femoral approach with wrapping method resolves diaphragm pacing after CRT-D.
Case Report (n=1)
The transvenous femoral approach with the wrapping method provides a simple and effective solution for managing diaphragm pacing complications after CRT-D implantation.
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May offer a feasible option for post-CRT-D diaphragm pacing; hypothesis-generating and requires prospective validation before practice change.
The use of cardiac resynchronization therapy (CRT) has become widespread in patients with heart failure who meet the criteria for implantation. Coronary sinus lead positioning is important to provide the intended biventricular stimulation. Diaphragm pacing is a lead-related complication which occurs secondary to phrenic nerve stimulation. We present the case of a 58-year-old male patient who had diaphragm pacing after CRT with defibrillator implantation. The complication was resolved by using the transvenous femoral approach with the wrapping method.
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Alper et al. (2017) conducted a case report in Diaphragm pacing after CRT-D implantation (n=1). Transvenous femoral approach with the wrapping method was evaluated on Resolution of diaphragm pacing. The transvenous femoral approach with the wrapping method successfully resolved diaphragm pacing in a patient following cardiac resynchronization-defibrillator therapy.
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