Key result
Identifying the left pericardiophrenic vein can guide LV lead placement to minimize PNS during CRT.
Identifying the left pericardiophrenic vein during CRT implantation may help guide left ventricular lead placement to avoid phrenic nerve stimulation.
Phrenic nerve stimulation (PNS) is a frequent occurrence in patients implanted with a cardiac resynchronization therapy device. We present a case where identification of the left pericardiophrenic vein, which runs alongside the phrenic nerve, was used to guide left ventricular lead placement in order to minimize the risk of PNS.
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Kirubakaran et al. (2011) studied this question. Identification of the left pericardiophrenic vein can guide left ventricular lead placement to minimize the risk of phrenic nerve stimulation during cardiac resynchronization therapy.
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