What question did this study set out to answer?

To describe an alternative transseptal endocardial technique for left ventricular pacing when coronary sinus lead placement is not achievable.

November 1, 1998Pacing and Clinical ElectrophysiologyOpen Access

Endocardial Biventricular Pacing

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Coronary artery disease, end-stage congestive heart failure, and sick sinus syndrome (n=1). Intervention: Endocardial biventricular pacing via transseptal LV lead.

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Key result

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.

Why the study?

Is transseptal endocardial LV lead placement feasible for biventricular pacing when coronary sinus access is unsuccessful?

Population

1 73-year-old man with coronary artery disease, end-stage congestive heart failure, and a DDD pacemaker…

Design

Case_report

Authors

PJPIERRE JAÏSUniversité de Bordeaux HDH DouardHôpital Cardiologique du Haut-Lévêque DSDipen ShahElectrophysiology

Discussion

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Implication

Should not yet change practice for failed CS access; leaves open feasibility of transseptal endocardial LV leads in larger studies.

Key Points

To describe an alternative transseptal endocardial technique for left ventricular pacing when coronary sinus lead placement is not achievable.
Intervention performed in a 73-year-old male with coronary artery disease, end-stage congestive heart failure, and a DDD pacemaker for sick sinus syndrome.
An endocardial left ventricular lead was placed transseptally after standard coronary sinus cannulation attempts failed.
Simultaneous right and left ventricular pacing was successfully established endocardially.
The transseptal endocardial route provided a viable non-surgical alternative to epicardial lead placement via thoracotomy.

Study Design

Type

Case Report (n=1)

Structured PICO

Is transseptal endocardial LV lead placement feasible for biventricular pacing when coronary sinus access is unsuccessful?

Population

1 73-year-old man with coronary artery disease, end-stage congestive heart failure, and a DDD pacemaker implanted for sick sinus syndrome.

Intervention

Simultaneous right and left ventricular pacing via an endocardial LV lead introduced transseptally.

Outcome

Feasibility of transseptal endocardial LV lead placement

Transseptal endocardial LV lead placement offers an alternative approach for multisite pacing when coronary sinus access fails.

Cite This Study

JAÏS et al. (1998) 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.

synapsesocial.com/papers/6a0eb353a14f152feaf9b9dd https://doi.org/10.1111/j.1540-8159.1998.tb01133.x

Topics

HFrEF treatment Heart failure

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Endocardial Biventricular Pacing

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Topics

Endocardial Biventricular Pacing

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

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Topics

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