Transseptal approach to the implantation of cardiac resynchronization therapy
Introduction. In patients with cardiac resynchronization therapy left ventricular lead is usually placed through a tributary vein of the coronary sinus. However, when this approach failed, the atrial transseptal approach is mostly used for endovascular left ventricular lead placement, but it is quit...
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2018-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600324V.pdf |
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| author | Vukmirović Mihailo Angelkov Lazar Tomašević-Vukmirović Irena Vukmirović Filip |
| author_facet | Vukmirović Mihailo Angelkov Lazar Tomašević-Vukmirović Irena Vukmirović Filip |
| author_sort | Vukmirović Mihailo |
| collection | DOAJ |
| description | Introduction. In patients with cardiac resynchronization therapy left ventricular lead is usually placed through a tributary vein of the coronary sinus. However, when this approach failed, the atrial transseptal approach is mostly used for endovascular left ventricular lead placement, but it is quite difficult to perform. Case report. 59-years-old patient, male, was hospitalized due to endovascular left ventricular lead placement by atrial transseptal approach, after failed attempt via coronary sinus vein. Non-ischemic dilated cardiomiopathy was verified 1 year ago. Endoventricular lead was introduced by left subclavian approach and advanced through the previously punctured hole in the left atrium cavity and over mitral valve placed in posterolateral part of left ventricular. Both right ventricular defibrillator lead and atrial electrode were implanted routinely in the right ventricle septum and right atrial appendage. Conclusion. Left ventricular endocardial lead implantation by atrial transseptal approach is a feasible and safe in patients with previously failed implantation via tributary vein of the coronary sinus. |
| first_indexed | 2024-04-12T18:10:39Z |
| format | Article |
| id | doaj.art-f2da2f7b281d460888f069a650d4f6f6 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-04-12T18:10:39Z |
| publishDate | 2018-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-f2da2f7b281d460888f069a650d4f6f62022-12-22T03:21:50ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202018-01-0175332632910.2298/VSP141216324V0042-84501600324VTransseptal approach to the implantation of cardiac resynchronization therapyVukmirović Mihailo0Angelkov Lazar1Tomašević-Vukmirović Irena2Vukmirović Filip3Clinical Center of Montenegro, Center of Cardiology, Podgorica, MontenegroClinical Center of Montenegro, Institute of Cardiovascular Diseases Dedinje, BelgradeClinical Center of Montenegro, Center of Patology, Podgorica, MontenegroClinical Center of Montenegro, Center of Radiology, Podgorica, MontenegroIntroduction. In patients with cardiac resynchronization therapy left ventricular lead is usually placed through a tributary vein of the coronary sinus. However, when this approach failed, the atrial transseptal approach is mostly used for endovascular left ventricular lead placement, but it is quite difficult to perform. Case report. 59-years-old patient, male, was hospitalized due to endovascular left ventricular lead placement by atrial transseptal approach, after failed attempt via coronary sinus vein. Non-ischemic dilated cardiomiopathy was verified 1 year ago. Endoventricular lead was introduced by left subclavian approach and advanced through the previously punctured hole in the left atrium cavity and over mitral valve placed in posterolateral part of left ventricular. Both right ventricular defibrillator lead and atrial electrode were implanted routinely in the right ventricle septum and right atrial appendage. Conclusion. Left ventricular endocardial lead implantation by atrial transseptal approach is a feasible and safe in patients with previously failed implantation via tributary vein of the coronary sinus.http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600324V.pdfcardiac resynchronization therapycardiac resynchronization therapy devicestreatment outcome |
| spellingShingle | Vukmirović Mihailo Angelkov Lazar Tomašević-Vukmirović Irena Vukmirović Filip Transseptal approach to the implantation of cardiac resynchronization therapy Vojnosanitetski Pregled cardiac resynchronization therapy cardiac resynchronization therapy devices treatment outcome |
| title | Transseptal approach to the implantation of cardiac resynchronization therapy |
| title_full | Transseptal approach to the implantation of cardiac resynchronization therapy |
| title_fullStr | Transseptal approach to the implantation of cardiac resynchronization therapy |
| title_full_unstemmed | Transseptal approach to the implantation of cardiac resynchronization therapy |
| title_short | Transseptal approach to the implantation of cardiac resynchronization therapy |
| title_sort | transseptal approach to the implantation of cardiac resynchronization therapy |
| topic | cardiac resynchronization therapy cardiac resynchronization therapy devices treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600324V.pdf |
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