Right ventricle/interventricular septum electrophysiological anatomy (determination of optimal right ventricular lead placement)

Notwithstanding a theoretically justified lead placement into the interventricular septum (IVS), the data from the clinical trials demonstrate somewhat controversial results. One of these controversies is the absence of consolidated criteria for positioning the electrode to deliver pacing from the i...

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Main Authors: М. В. Диденко, С. П. Марченко, Г. Г. Хубулава, Д. А. Старчик, Г. С. Пасенов
Format: Article
Language:English
Published: Meshalkin National Medical Research Center 2015-10-01
Series:Патология кровообращения и кардиохирургия
Subjects:
Online Access:http://journalmeshalkin.ru/index.php/heartjournal/article/view/23
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author М. В. Диденко
С. П. Марченко
Г. Г. Хубулава
Д. А. Старчик
Г. С. Пасенов
author_facet М. В. Диденко
С. П. Марченко
Г. Г. Хубулава
Д. А. Старчик
Г. С. Пасенов
author_sort М. В. Диденко
collection DOAJ
description Notwithstanding a theoretically justified lead placement into the interventricular septum (IVS), the data from the clinical trials demonstrate somewhat controversial results. One of these controversies is the absence of consolidated criteria for positioning the electrode to deliver pacing from the interventricular septum (IVS) area. The study describes anatomic features of RV and IVS with respect to the cardiac conduction system, normal ventricular excitation and electrode implantation techniques for continuous pacing. A comparative study of 73 specimens of cadaver hearts was carried out by using electro-anatomic 3D mapping of the heart, X-ray examination, computer-aided tomography, morphological and morphometric investigation. It was found out that the medium part of IVS in the septomarginal trabecula zone could be considered the best for continuous pacing. The criteria for the RV lead to be implanted in this zone were determined.
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spelling doaj.art-4f52c5be98c34744ada6d09b1ded8e1c2023-08-02T02:27:59ZengMeshalkin National Medical Research CenterПатология кровообращения и кардиохирургия1681-34722500-31192015-10-0118413213810.21688/1681-3472-2014-4-132-138743Right ventricle/interventricular septum electrophysiological anatomy (determination of optimal right ventricular lead placement)М. В. Диденко0С. П. Марченко1Г. Г. Хубулава2Д. А. СтарчикГ. С. Пасенов3Военно-медицинская академия им. С.М. КироваВоенно-медицинская академия им. С.М. КироваВоенно-медицинская академия им. С.М. КироваВоенно-медицинская академия им. С.М. КироваNotwithstanding a theoretically justified lead placement into the interventricular septum (IVS), the data from the clinical trials demonstrate somewhat controversial results. One of these controversies is the absence of consolidated criteria for positioning the electrode to deliver pacing from the interventricular septum (IVS) area. The study describes anatomic features of RV and IVS with respect to the cardiac conduction system, normal ventricular excitation and electrode implantation techniques for continuous pacing. A comparative study of 73 specimens of cadaver hearts was carried out by using electro-anatomic 3D mapping of the heart, X-ray examination, computer-aided tomography, morphological and morphometric investigation. It was found out that the medium part of IVS in the septomarginal trabecula zone could be considered the best for continuous pacing. The criteria for the RV lead to be implanted in this zone were determined.http://journalmeshalkin.ru/index.php/heartjournal/article/view/23ЭЛЕКТРОКАРДИОСТИМУЛЯЦИЯINTERVENTRICULAR SEPTUMANATOMYRIGHT VENTRICLE
spellingShingle М. В. Диденко
С. П. Марченко
Г. Г. Хубулава
Д. А. Старчик
Г. С. Пасенов
Right ventricle/interventricular septum electrophysiological anatomy (determination of optimal right ventricular lead placement)
Патология кровообращения и кардиохирургия
ЭЛЕКТРОКАРДИОСТИМУЛЯЦИЯ
INTERVENTRICULAR SEPTUM
ANATOMY
RIGHT VENTRICLE
title Right ventricle/interventricular septum electrophysiological anatomy (determination of optimal right ventricular lead placement)
title_full Right ventricle/interventricular septum electrophysiological anatomy (determination of optimal right ventricular lead placement)
title_fullStr Right ventricle/interventricular septum electrophysiological anatomy (determination of optimal right ventricular lead placement)
title_full_unstemmed Right ventricle/interventricular septum electrophysiological anatomy (determination of optimal right ventricular lead placement)
title_short Right ventricle/interventricular septum electrophysiological anatomy (determination of optimal right ventricular lead placement)
title_sort right ventricle interventricular septum electrophysiological anatomy determination of optimal right ventricular lead placement
topic ЭЛЕКТРОКАРДИОСТИМУЛЯЦИЯ
INTERVENTRICULAR SEPTUM
ANATOMY
RIGHT VENTRICLE
url http://journalmeshalkin.ru/index.php/heartjournal/article/view/23
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