Key result
A right ventricular lead apparently implanted in the midseptal position by fluoroscopy was found by CT to be in the anterior wall, in critical proximity (<5 mm) to the left anterior descending artery.
Case Report (n=1)
No
Fluoroscopic criteria for midseptal RV lead implantation may be misleading, potentially resulting in anterior wall placement and critical proximity to the LAD.
Implantace pravokomorovĂŠ (PK) stimulaÄnĂ elektrody do septĂĄlnĂ (ideĂĄlnÄ midseptĂĄlnĂ) pozice se jiĹž dlouhodobÄ povaĹžuje za optimĂĄlnĂ a vĂce fyziologickou neĹž dĹĂve pouĹžĂvanĂĄ hrotovĂĄ stimulace. NicmĂŠnÄ implantace do midseptĂĄlnĂ pozice za pouĹžitĂ stĂĄvajĂcĂch skiaskopickĂ˝ch kritĂŠriĂ je obtĂĹžnÄjĹĄĂ a pomÄrnÄ velkĂŠ mnoĹžstvĂ implantovanĂ˝ch elektrod je dle kontrolnĂch zobrazovacĂch vyĹĄetĹenĂ ve skuteÄnosti implantovĂĄno do pĹednĂ nebo volnĂŠ stÄny PK. V nĂĄsledujĂcĂ kasuistice pĹedstavĂme pĹĂpad pacienta, u nÄhoĹž elektroda zdĂĄnlivÄ implantovanĂĄ do midsepta, skonÄila ve skuteÄnosti v pĹednĂ stÄnÄ PK v blĂzkosti anteroseptĂĄlnĂho ĹžlĂĄbku, ÄĂmĹž se hrot implantovanĂŠ elektrody dostal do kritickĂŠ vzdĂĄlenosti k ramus interventricularis anterior (RIA).
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Malá et al. (2018) conducted a case report in High-degree atrioventricular block (n=1). Right ventricular lead implantation was evaluated on Anatomical position of the RV lead on CT. A right ventricular lead apparently implanted in the midseptal position by fluoroscopy was found by CT to be in the anterior wall, in critical proximity (<5 mm) to the left anterior descending artery.
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