scholarly journals Abolition of diaphragmatic stimulation and restoration of left ventricular pacing by nonsurgical withdrawal of the left ventricular lead: Report of two cases

2018 ◽  
Vol 4 (3) ◽  
pp. 102-104 ◽  
Author(s):  
Joaquín Fernández de la Concha Castañeda ◽  
Juan José García Guerrero ◽  
Mercedes Merchán Cuenda ◽  
Manuel Doblado Calatrava
Keyword(s):  
Left Ventricular ◽  
Left Ventricular Lead ◽  
Ventricular Pacing ◽  
Ventricular Lead ◽  
Left Ventricular Pacing ◽  
Diaphragmatic Stimulation

Video-Assisted Implantation of a Left Ventricular Lead and Intrathoracic Tunneling to a Right-Sided CRT-D Device

2011 ◽  
Vol 6 (5) ◽  
pp. 341-343
Author(s):  
Thijs Stoker ◽  
Theo J. Klinkenberg ◽  
Alexander H. Maass ◽  
Massimo A. Mariani
Keyword(s):  
Left Ventricular ◽  
Pleural Space ◽  
Left Ventricular Lead ◽  
Cardiac Resynchronization ◽  
Ventricular Pacing ◽  
Video Assisted ◽  
Ventricular Lead ◽  
Pacing Lead ◽  
Left Ventricular Pacing ◽  
The Right

We describe two cases in which a biventricular implantable cardioverter defibrillator for cardiac resynchronization therapy had to be placed on the right side due to unsuitability of the left subclavian vein. Endocardial implantation of a left ventricular lead through the coronary sinus was previously attempted but was unsuccessful. Implantation of the epicardial left ventricular pacing lead was performed through video-assisted thoracic surgery on the left side. The connector end of the left ventricular pacing lead was tunnelized through the anterior mediastinum into the right pleural space. The right-sided pocket was then opened. A tunnel was created from the pocket to the thoracic wall, and the pleural space was entered over the second rib. The lead was retrieved from the right pleural space and connected with the Cardiac resynchronization therapy-device (CRT-D). Both procedures and postoperative periods were uneventful. Intrathoracic left-to-right tunneling of an epicardial left ventricular lead by video-assisted thoracic surgery is feasible and safe. It provides an alternative to subcutaneous tunneling.

Additional Great cardiac vein

2018 ◽  
Vol 1 (46) ◽  
pp. 36-39
Author(s):  
Anna Gózd-Barszczewska ◽  
Wojciech Dworzański ◽  
Marcin Szczasny ◽  
Marcin Leus ◽  
Tomasz Chromiński ◽  
...  
Keyword(s):  
Multislice Computed Tomography ◽  
Left Ventricular ◽  
Ventricular Pacing ◽  
Great Cardiac Vein ◽  
System A ◽  
Lead Placement ◽  
Ventricular Lead ◽  
Pacing Lead ◽  
Coronary Venous System ◽  
Left Ventricular Pacing

We report a case of a patient with an additional great cardiac vein, discovered during the implantation for car­diac resynchronization therapy (CRT). Anomalies of the coronary sinus and its tributaries may cause difficulties in appropriate implantation of the left ventricular lead but they can also be considered as alternatives for lead placement. Although unusual angiogram of the coronary venous system, a left ventricular pacing lead was successfully placed in the left marginal vein. To settle diagnostic doubts, multislice computed tomography was carried out.

Bifocal right ventricular pacing: an alternative way to achieve resynchronization when left ventricular lead insertion is unsuccessful

2012 ◽  
Vol 35 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Skevos Sideris ◽  
Constantina Aggeli ◽  
Emmanouil Poulidakis ◽  
Kostas Gatzoulis ◽  
Ioannis Vlaseros ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Left Ventricular ◽  
Left Ventricular Lead ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing ◽  
Ventricular Lead
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