Key result
Intraoperative left coronary arteriography and pericardiophrenic vein identification resulted in a 97% success rate for left ventricular lead implantation without phrenic nerve stimulation.
Why the study?
Does intraoperative left coronary arteriography and pericardiophrenic vein identification improve the success and safety of left ventricular lead implantation in patients undergoing biventricular device implantation?
Population
77 patients undergoing biventricular (bi-v) device implantation between July 2002 and October 2003.
Design
Cohort
Authors
Loading...
May aid challenging LV lead placement in CRT; hypothesis-generating and requires randomized confirmation before practice change.
Observational (n=77)
Does intraoperative left coronary arteriography and pericardiophrenic vein identification improve the success and safety of left ventricular lead implantation in patients undergoing biventricular device implantation?
Intraoperative left coronary arteriography can facilitate coronary sinus cannulation when standard approaches fail, and identifying the pericardiophrenic vein helps avoid phrenic nerve stimulation during LV lead placement.
Vaseghi et al. (2005) conducted an observational in Patients undergoing biventricular device implantation (n=77). Intraoperative left coronary arteriography and pericardiophrenic vein identification was evaluated on Successful left ventricular lead implantation. Intraoperative left coronary arteriography and pericardiophrenic vein identification resulted in a 97% success rate for left ventricular lead implantation without phrenic nerve stimulation.