Key result
Thoracoscopic epicardial lead implantation after failed endovascular attempts resulted in 0% mortality or major surgical complications and 100% appropriate pacing in 11 patients.
Why the study?
Does thoracoscopic epicardial lead implantation provide safe and effective pacing in patients with failed endovascular lead insertion?
Population
11 patients indicated for permanent pacing or cardiac resynchronization therapy with failed endovascular…
Design
Case_series
Follow-up
immediate postoperative
Authors
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Supports thoracoscopic epicardial leads as rescue after endovascular failure; hypothesis-generating and requires larger prospective confirmation.
Observational (n=11)
No
Does thoracoscopic epicardial lead implantation provide safe and effective pacing in patients with failed endovascular lead insertion?
Thoracoscopic epicardial lead implantation is a safe and effective rescue strategy for patients requiring pacing or CRT who fail endovascular lead insertion.
Nesher et al. (2014) conducted an observational in Failed endovascular lead insertion for cardiac pacing and resynchronization therapy (n=11). Thoracoscopic epicardial lead implantation was evaluated on Mortality, major surgical complications, and appropriate pacing/conductivity. Thoracoscopic epicardial lead implantation after failed endovascular attempts resulted in 0% mortality or major surgical complications and 100% appropriate pacing in 11 patients.
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