June 1, 2000Pacing and Clinical Electrophysiology

Initial Results with Left Ventricular Pacemaker Lead Implantation Using a Preformed “Peel‐Away” Guiding Sheath and “Side‐Wire” Left Ventricular Pacing Lead

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Why the study?

Is left ventricular pacemaker lead implantation using a preformed "peel-away" guiding sheath and "side-wire" pacing lead feasible in patients with heart failure?

Population

13 patients with heart failure undergoing permanent biventricular pacemaker insertion.

Design

Case_series

Authors

SWStuart WalkerRoyal Hobart Hospital TLTerry LevyInterventional / Structural Cardiology SRStephen RexHarefield Hospital

Discussion

Member takes

Implication

Supports feasibility of novel LV lead technique in small HF series; hypothesis-generating, requires prospective validation before practice change.

Structured PICO

Is left ventricular pacemaker lead implantation using a preformed "peel-away" guiding sheath and "side-wire" pacing lead feasible in patients with heart failure?

Population

13 patients with heart failure undergoing permanent biventricular pacemaker insertion (3 undergoing upgrade of a preexistent VVIR pacing system after prior His ablation for medically refractory atrial fibrillation, 6 requiring left ventricular lead repositioning after total implantation failure or late displacement, and 4 undergoing new system implantation).

Intervention

Left ventricular pacemaker lead implantation using a preformed "peel-away" guiding sheath and "side-wire" left ventricular pacing lead.

Outcome

Successful implantation (feasibility)

Device implantation using a preformed sheath and side-wire pacing lead is feasible and achieves a high success rate (92%) for biventricular pacemaker insertion.

Cite This Study

Walker et al. (2000) studied this question.

synapsesocial.com/papers/6a7188882fdcb5703edb7916 https://doi.org/10.1111/j.1540-8159.2000.tb00885.x

Topics

Heart failure HFrEF treatment

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Implication

Supports feasibility of novel LV lead technique in small HF series; hypothesis-generating, requires prospective validation before practice change.

Initial Results with Left Ventricular Pacemaker Lead Implantation Using a Preformed “Peel‐Away” Guiding Sheath and “Side‐Wire” Left Ventricular Pacing Lead

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Initial Results with Left Ventricular Pacemaker Lead Implantation Using a Preformed “Peel‐Away” Guiding Sheath and “Side‐Wire” Left Ventricular Pacing Lead

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider