Key result
Robotic epicardial electroanatomic mapping was feasible for optimizing intraoperative left ventricular lead placement and implanting a totally epicardial biventricular CRT-D system.
Why the study?
Robotically assisted endoscopic implantation provides benefit in patients with limited vascular access, but optimization strategies for epicardial lead placement and totally epicardial CRT-D systems needed exploration.
Case Report (n=1)
Robotic epicardial electroanatomic mapping is a feasible strategy for optimizing left ventricular lead placement during totally epicardial CRT-D implantation in patients lacking vascular access.
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Hypothesis-generating for robotic epicardial CRT-D in patients lacking venous access; larger studies required before clinical adoption.
Wey et al. (2019) conducted a case report in Class I indication for cardiac resynchronization therapy with defibrillator and inaccessible vascular access (n=1). Robotic epicardial electroanatomic mapping for CRT-D implantation was evaluated on Feasibility of optimization strategy for intraoperative left ventricular lead placement and implanting a totally epicardial biventricular cardioverter-defibrillator system. Robotic epicardial electroanatomic mapping was feasible for optimizing intraoperative left ventricular lead placement and implanting a totally epicardial biventricular CRT-D system.
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