Key result
Video-assisted thoracoscopic placement of the left ventricular pacing lead was successful in 76% (13/17) of patients after failed transvenous approach, with all patients reporting symptomatic benefit.
Why the study?
Is video-assisted thoracoscopic placement of the left ventricular pacing lead feasible and efficacious in patients where the transvenous approach has failed?
Population
17 patients with ischemic or nonischemic cardiomyopathy indicated for cardiac resynchronization therapy…
Design
Case_series
Follow-up
mean 226 days
Authors
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May support thoracoscopic LV lead placement after transvenous failure; hypothesis-generating from small case series and requires prospective validation.
Observational (n=17)
Is video-assisted thoracoscopic placement of the left ventricular pacing lead feasible and efficacious in patients where the transvenous approach has failed?
Video-assisted thoracoscopic placement of an epicardial LV lead is a feasible and effective alternative for cardiac resynchronization therapy when the transvenous approach fails.
Jutley et al. (2008) conducted an observational in Cardiomyopathy requiring cardiac resynchronization therapy (n=17). Video-assisted thoracoscopic (VAT) placement of the left ventricular pacing lead was evaluated on Procedural success. Video-assisted thoracoscopic placement of the left ventricular pacing lead was successful in 76% (13/17) of patients after failed transvenous approach, with all patients reporting symptomatic benefit.
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