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November 1, 1998Pacing and Clinical Electrophysiology117 citationsOpen Access

Endocardial Biventricular Pacing

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PJPIERRE JAÏSHDH DouardDSDipen Shah

Key Result

Endocardial biventricular pacing via a transseptally introduced LV lead was successfully performed in a 73-year-old man, offering an alternative to epicardial LV pacing.

Key Points

  • To describe an alternative transseptal endocardial technique for left ventricular pacing when coronary sinus lead placement is not achievable.
  • Intervention performed in a 73-year-old male with coronary artery disease, end-stage congestive heart failure, and a DDD pacemaker for sick sinus syndrome.
  • An endocardial left ventricular lead was placed transseptally after standard coronary sinus cannulation attempts failed.
  • Simultaneous right and left ventricular pacing was successfully established endocardially.
  • The transseptal endocardial route provided a viable non-surgical alternative to epicardial lead placement via thoracotomy.

Study Design

Type

Case Report (n=1)

Structured PICO

Is transseptal endocardial LV lead placement feasible for biventricular pacing when coronary sinus access is unsuccessful?

P
Population
1 73-year-old man with coronary artery disease, end-stage congestive heart failure, and a DDD pacemaker implanted for sick sinus syndrome.
I
Intervention
Simultaneous right and left ventricular pacing via an endocardial LV lead introduced transseptally.
O
Outcome
Feasibility of transseptal endocardial LV lead placement

Transseptal endocardial LV lead placement offers an alternative approach for multisite pacing when coronary sinus access fails.

Abstract

Simultaneous right and left ventricular pacing was performed in a 73-year-old man with coronary artery disease end-stage congestive heart failure and a DDD pacemaker implanted for sick sinus syndrome. An endocardial LV lead was introduced transseptally after unsuccessful attempts to enter the coronary sinus. This new approach for multisite pacing offers an alternative to epicardial LV from the coronary sinus or by thoracotomy.

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Cite This Study

JAÏS et al. (1998) conducted a case report in Coronary artery disease, end-stage congestive heart failure, and sick sinus syndrome (n=1). Endocardial biventricular pacing via transseptal LV lead was evaluated. Endocardial biventricular pacing via a transseptally introduced LV lead was successfully performed in a 73-year-old man, offering an alternative to epicardial LV pacing.

synapsesocial.com/papers/6a0eb353a14f152feaf9b9ddhttps://doi.org/10.1111/j.1540-8159.1998.tb01133.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Permanent Left Atrial Pacing with a Specifically Designed Coronary Sinus Lead1997 · 44 citations
  2. 2Asymptomatic Left Ventricular Malposition of a Transvenous Pacemaker Lead Through a Sinus Venosus Defect: Follow‐up Over 17 Years1991 · 53 citations
  3. 3Two‐Dimensional Echocardiographic Localization of a Malpositioned Pacing Catheter1983 · 21 citations
  4. 4Amaurosis Fugax in a Patient with a Left Ventricular Endocardial Pacemaker1984 · 33 citations
  5. 5Two‐Dimensional Echocardiographic Recognition of a Pacing Catheter Perforation of the Interventricular Septum1982 · 10 citations