Key result
VATS enables epicardial LV lead placement and intrathoracic device connection after failed coronary sinus access.
Describes a video-assisted thoracic surgery technique for epicardial left ventricular lead placement in patients with failed coronary sinus access for cardiac resynchronization therapy.
May offer VATS alternative for epicardial LV leads after failed CS access; hypothesis-generating and should not yet change practice.
Cardiac resynchronization therapy is one of the cornerstones of heart failure treatment. Inability to access the coronary sinus or one of its sidebranches is one of the most common causes of therapeutic failure. We describe a technique using video-assisted thoracic surgery for epicardial placement of the left ventricular lead and use an intrathoracic route to connect the lead to the device.
No takes yet. Share an insight, caveat, or question.
Schouwenburg et al. (2013) studied this question. Video-assisted thoracic surgery can be used for epicardial placement of the left ventricular lead and intrathoracic device connection in patients with failed coronary sinus access.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: