Key result
Upgrading a single chamber endo-epicardial device to a triple chamber biventricular ICD presents technical challenges that require specific therapeutic solutions.
This case report highlights the technical challenges and potential solutions when upgrading conventional pacemakers to biventricular pacing in heart failure patients.
Case-specific upgrade solutions may aid planning; leaves open standardized approaches pending prospective data.
In patients with heart failure implanted with conventional pacemakers, cardiac resynchronization therapy results in significant benefits. The upgrade of previously implanted devices to biventricular pacing may be technically challenging. We report one case of upgrade to biventricular pacing and describe the related technical implications and the therapeutic solutions adopted.
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Occhetta et al. (2006) studied this question. Upgrading a single chamber endo-epicardial device to a triple chamber biventricular ICD presents technical challenges that require specific therapeutic solutions.
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