Key result
Video-assisted thoracoscopic epicardial left ventricular lead implantation successfully reduced QRS duration from 240 ms to 156 ms and improved LVEF from 17% to 30% at 3 months.
Population
1 49-year-old woman with dilated cardiomyopathy requiring cardiac resynchronization therapy, with difficult…
Design
Case_report
Follow-up
3 months
Authors
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May support thoracoscopic epicardial LV lead placement as CRT alternative when transvenous fails; hypothesis-generating case report needing prospective validation.
Case Report (n=1)
No
Total thoracoscopic left ventricular lead implantation without mini-thoracotomy is a feasible alternative for cardiac resynchronization therapy when the transvenous approach is difficult.
Jeong et al. (2012) conducted a case report in Dilated cardiomyopathy and heart failure (n=1). Video-assisted epicardial left ventricular lead implantation was evaluated on Successful implantation and cardiac function improvement (QRS duration, LVEF). Video-assisted thoracoscopic epicardial left ventricular lead implantation successfully reduced QRS duration from 240 ms to 156 ms and improved LVEF from 17% to 30% at 3 months.
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