A novel stylet shape allows for easy and reliable deployment of a conventional active-fixation, stylet-driven lead onto the right ventricular outflow tract septum.
How can septal right ventricular outflow tract pacing be reliably achieved using a novel stylet shape?
This review provides a practical methodological approach using a novel stylet shape to achieve reliable septal RVOT pacing, avoiding the adverse effects of RV apical pacing.
BACKGROUND: Pacing from the right ventricular apex is associated with long-term adverse effects on left ventricular function. This has fuelled interest in alternative pacing sites, especially the septal aspect of the right ventricular outflow tract (RVOT). However, it is a common perception that septal RVOT pacing is difficult to achieve. METHODS AND RESULTS: In this article, we will review the anatomy of the RVOT and discuss the importance of standard radiographic views and the 12-lead electrocardiogram in aiding lead placement. We will also describe a method utilizing a novel stylet shape, whereby a conventional active-fixation, stylet-driven lead can be easily and reliably deployed onto the RVOT septum.
Mond et al. (Sun,) conducted a review in Right ventricular pacing. Septal RVOT pacing using a novel stylet shape was evaluated. A novel stylet shape allows for easy and reliable deployment of a conventional active-fixation, stylet-driven lead onto the right ventricular outflow tract septum.
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