What is the clinical evidence from this study?

Study design: Case Report. Population: Severe dilated ischaemic cardiomyopathy (n=1). Intervention: Biventricular ICD implant using endocardial LV lead placement via transfemoral transseptal puncture.

What does this research mean for the field?

Biventricular ICD implantation using endocardial LV lead placement via transfemoral transseptal puncture is a feasible and successful alternative to high-risk thoracotomy for patients with failed conventional epicardial pacing. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

August 17, 2007EP EuropaceOpen Access

Biventricular ICD implant using endocardial LV lead placement from the left subclavian vein approach and transseptal puncture via the transfemoral route

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Key result

Biventricular ICD implantation using endocardial LV lead placement via transfemoral transseptal puncture was successfully performed as an alternative to high-risk thoracotomy in a 72-year-old male.

Why the study?

Does endocardial LV lead placement via transseptal puncture allow successful biventricular ICD implantation in a patient with failed conventional epicardial LV pacing?

Population

1 72-year-old diabetic male patient with severe dilated ischaemic cardiomyopathy, NYHA class III symptoms…

Design

Case_report

Authors

BNB. NutaCarol Davila University of Medicine and Pharmacy ILIan LinesDerriford Hospital IMI. MacIntyreDerriford Hospital

Discussion

Member takes

Implication

May support transseptal endocardial LV leads when conventional pacing fails; hypothesis-generating and should not yet change practice.

Study Design

Type

Case Report (n=1)

Multicenter

Structured PICO

Does endocardial LV lead placement via transseptal puncture allow successful biventricular ICD implantation in a patient with failed conventional epicardial LV pacing?

Population

1 72-year-old diabetic male patient with severe dilated ischaemic cardiomyopathy, NYHA class III symptoms, previous unsuccessful attempts at cardiac resynchronization therapy using conventional epicardial left ventricular pacing, and an indication for ICD implantation.

Intervention

Biventricular ICD implant using endocardial LV lead placement from the left subclavian vein approach and transseptal puncture via the transfemoral route.

Outcome

Successful implantation of the biventricular ICD system.

Endocardial LV lead placement via transseptal puncture offers a viable alternative for biventricular ICD implantation when conventional coronary sinus approaches fail.

Cite This Study

Nuta et al. (2007) conducted a case report in Severe dilated ischaemic cardiomyopathy (n=1). Biventricular ICD implant using endocardial LV lead placement via transfemoral transseptal puncture was evaluated. Biventricular ICD implantation using endocardial LV lead placement via transfemoral transseptal puncture was successfully performed as an alternative to high-risk thoracotomy in a 72-year-old male.

synapsesocial.com/papers/6a183995aeefdf6d9c13831f https://doi.org/10.1093/europace/eum176

Topics

Cardiac device therapy

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Biventricular ICD implant using endocardial LV lead placement from the left subclavian vein approach and transseptal puncture via the transfemoral route

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Topics

Biventricular ICD implant using endocardial LV lead placement from the left subclavian vein approach and transseptal puncture via the transfemoral route

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Topics

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