scholarly journals Surgical epicardial left ventricular lead implantation as a troubleshooting step for a left ventricular lead fracture following difficult transvenous implants in cardiac resynchronisation therapy patients: a case report

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.

2015 ◽  
Vol 01 (01) ◽  
pp. 25 ◽  
Author(s):  
Mayank Singhal ◽  
Manoj K Rohit ◽  
Parag Barwad ◽  
◽  
◽  
...  

Left ventricular (LV) lead in cardiac resynchronisation therapy (CRT) is the most important and difficult lead to place, leading to abandonment of up to 10–15 % of procedures. Here we discuss various difficulties encountered in percutaneous placement of LV leads and what all can be done to ensure successful placement of the same and to prevent the already compromised patient from the requirement of epicardial lead placement.


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