Key result
Isolated epicardial LV lead implant using minithoracotomy after failed transvenous attempt yielded a 61.8% clinical response rate, with an 11.9% 1-year mortality and 17.5% complication rate.
Population
42 patients undergoing isolated epicardial left ventricular lead placement after a failed transvenous…
Design
Cohort
Follow-up
long-term (includes 1-year mortality data)
Authors
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May support epicardial LV lead via minithoracotomy after failed transvenous CRT; leaves open need for randomized confirmation.
Cohort (n=42)
Isolated epicardial LV lead implantation via minithoracotomy is a viable and relatively safe alternative for patients with failed transvenous CRT lead placement, yielding a reasonable clinical response rate.
McAloon et al. (2016) conducted a cohort in Failed transvenous left ventricular lead placement for cardiac resynchronization therapy (n=42). Isolated epicardial LV lead implant using a minithoracotomy approach was evaluated on Success of the approach at long-term follow-up (hospital stay, complications, mortality, and clinical response). Isolated epicardial LV lead implant using minithoracotomy after failed transvenous attempt yielded a 61.8% clinical response rate, with an 11.9% 1-year mortality and 17.5% complication rate.
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