Key result
Thoracoscopic epicardial LV lead implantation yields 100% procedural success with no major complications.
Why the study?
Epicardial placement of the LV lead is an alternative to standard CRT, but long-term safety and effectiveness of a minimally invasive thoracoscopic technique needed evaluation.
Does a minimally invasive thoracoscopic technique provide safe and effective epicardial LV lead implantation in patients with failed transvenous approaches or lead dislodgment?
Population
89 patients referred for epicardial LV lead implantation after failed implantation or lead dislodgment
Comparison
Minimally invasive thoracoscopic LV lead implantation
Design
Observational cohort study
Follow-up
Median 24 months
Authors
Loading...
May support thoracoscopic epicardial LV leads after transvenous failure; hypothesis-generating and requires randomized trials before practice change.
Observational (n=89)
No
Does a minimally invasive thoracoscopic technique provide safe and effective epicardial LV lead implantation in patients with failed transvenous approaches or lead dislodgment?
A minimally invasive thoracoscopic approach for epicardial LV lead implantation is a safe and effective alternative for patients with failed transvenous implantation or lead dislodgment.
Droghetti et al. (2018) conducted an observational in Heart failure requiring cardiac resynchronization therapy (n=89). Minimally invasive thoracoscopic technique for epicardial LV lead implantation was evaluated on Successful LV lead implantation. A minimally invasive thoracoscopic technique for epicardial LV lead implantation was successful in 100% of patients, with CRT established in all but one patient and no major complications.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: