scholarly journals The Use of a Quadripolar Left Ventricular Lead Increases Successful Implantation Rates in Patients with Phrenic Nerve Stimulation and/or High Pacing Thresholds Undergoing Cardiac Resynchronisation Therapy with Conventional Bipolar Leads

2013 ◽  
Vol 13 (2) ◽  
pp. 58-65 ◽  
Author(s):  
Marc-Alexander Ohlow ◽  
Bernward Lauer ◽  
Michele Brunelli ◽  
Yunis Daralammouri ◽  
J. Christoph Geller
2011 ◽  
Vol 5 ◽  
pp. CMC.S6759 ◽  
Author(s):  
Mariana S. Parahuleva ◽  
Ritvan Chasan ◽  
Nedim Soydan ◽  
Yasser Abdallah ◽  
Christiane Neuhof ◽  
...  

Effective cardiac resynchronization therapy (CRT) requires an accurate atrio-biventricular pacing system. The innovative Quartet lead is a quadripolar, over-the-wire left ventricular lead with four electrodes and has recently been designed to provide more options and greater control in pacing vector selection. A lead with multiple pacing electrodes is a potential alternative to physical adjustment of the lead and may help to overcome high thresholds and phrenic nerve stimulation (PNS).


Author(s):  
Toshiharu Koike ◽  
Yoichi Ajiro ◽  
Ken Kobayashi ◽  
Masayuki Sakai ◽  
Kenjiro Oyabu ◽  
...  

Troubleshooting of left ventricular (LV) lead fractures in cardiac resynchronisation therapy patients is important, especially for those with limited and problematic transvenous LV lead placement. In this case, surgical epicardial LV lead implantation was employed.


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