Key result
Video-assisted thoracoscopy for left ventricular epicardial lead implantation resulted in 0% surgical morbidity or mortality, no lead dislocations, and improved NYHA class in 13 of 15 patients.
Why the study?
Is video-assisted thoracoscopy (VATS) using two ports a feasible and safe alternative for left ventricular epicardial lead implantation when transvenous insertion fails in heart failure patients?
Population
15 patients with heart failure meeting ACC/AHA guidelines for biventricular pacing, in whom transvenous…
Design
Case_series
Follow-up
7 months
Authors
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Supports VATS epicardial leads in failed transvenous cases; hypothesis-generating and should not yet change practice.
Observational (n=15)
Is video-assisted thoracoscopy (VATS) using two ports a feasible and safe alternative for left ventricular epicardial lead implantation when transvenous insertion fails in heart failure patients?
VATS using a two-port approach is a safe, feasible, and effective alternative for left ventricular epicardial lead implantation in patients with heart failure when transvenous approaches fail.
Gabor et al. (2005) conducted an observational in Heart failure requiring biventricular pacing with failed transvenous left ventricular lead implantation (n=15). Video-assisted thoracoscopy (VATS) using two ports for left-ventricular epicardial lead implantation was evaluated on Surgical morbidity, mortality, lead dislocation, and pacing thresholds. Video-assisted thoracoscopy for left ventricular epicardial lead implantation resulted in 0% surgical morbidity or mortality, no lead dislocations, and improved NYHA class in 13 of 15 patients.
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