Key result
Lead extraction and His bundle pacing may mitigate obstacles preventing biventricular pacing to achieve effective cardiac resynchronization.
Case Report
Cardiac resynchronization therapy (CRT) achieved by implanting a lead via the coronary sinus (CS) system significantly improves well-being, symptoms, morbidity, and mortality in appropriately selected populations with advanced heart failure (HF) or pacing-induced cardiomyopathy.1–4 Despite improvements in implant technique, lead design, and pacing algorithms, there still remains a significant nonresponder rate, high implant failure, and higher risk of complications.5–7 The options for CRT are generally limited to surgical lead placement if lead delivery via the CS is not feasible.
No takes yet. Share an insight, caveat, or question.
Bhatt et al. (2017) conducted a case report in Advanced heart failure or pacing-induced cardiomyopathy. Lead extraction and His bundle pacing was evaluated. Lead extraction and His bundle pacing may mitigate obstacles preventing biventricular pacing to achieve effective cardiac resynchronization.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: