Key result
Endocardial LV pacing enables successful CRT after failed traditional epicardial pacing.
Why the study?
Alternatives to traditional coronary sinus left ventricular lead placement are needed for advanced heart failure patients with difficult coronary sinus anatomy, phrenic nerve stimulation, or nonresponse.
Comparison
Endocardial left ventricular pacing via caudocranial transseptal approach
Design
Case report
Authors
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Hypothesis-generating for endocardial LV pacing in epicardial CRT failures; prospective trials needed before adoption.
Case Report (n=1)
Endocardial left ventricular pacing via a caudocranial transseptal approach is a feasible alternative for CRT in patients who fail traditional epicardial LV pacing.
Sinno et al. (2020) conducted a case report in Heart failure (n=1). Endocardial left ventricular pacing (EnLVP) was evaluated on Successful EnLVP placement. Endocardial left ventricular pacing was successfully achieved for cardiac resynchronization therapy using standard techniques in a patient who failed traditional epicardial LV pacing.
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