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Left ventricular endocardial pacing in the real world: Five years of experience at a single center

Background A left ventricular (LV) endocardial lead implant to achieve cardiac resynchronization therapy (CRT) is feasible when a conventional implant failed due to anatomical or technical issues or when the venous implant was performed but the patient did not respond to the therapy. Methods Data ab...

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Published in:Pacing and clinical electrophysiology 2019-02, Vol.42 (2), p.153-160
Main Authors: García Guerrero, Juan J., Fernández de la Concha Castañeda, Joaquín, Doblado Calatrava, Manuel, Redondo Méndez, Ángel, Lázaro Medrano, Manuel, Merchán Herrera, Antonio
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container_end_page 160
container_issue 2
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container_title Pacing and clinical electrophysiology
container_volume 42
creator García Guerrero, Juan J.
Fernández de la Concha Castañeda, Joaquín
Doblado Calatrava, Manuel
Redondo Méndez, Ángel
Lázaro Medrano, Manuel
Merchán Herrera, Antonio
description Background A left ventricular (LV) endocardial lead implant to achieve cardiac resynchronization therapy (CRT) is feasible when a conventional implant failed due to anatomical or technical issues or when the venous implant was performed but the patient did not respond to the therapy. Methods Data about the implantation procedure (age, sex, clinical characteristics, anticoagulant use, and previous devices), patient characteristics (indication, technique used, lead model, complications), and follow‐up (clinical and echocardiographic outcome, LV lead electrical measurements) were analyzed for all CRT systems implanted using LV endocardial lead, due to failed conventional implant or nonresponse, between April 2011 and November 2016. Results Thirty‐five patients were implanted with an active fixation LV endocardial lead during the study period, without significant complications. There were no dislodgements or severe complications related to the implant procedure in the follow‐up period (36 ± 20 months) and a high percentage of patients responded to therapy, as assessed by several indicators. Conclusions An LV endocardial lead implant was feasible when the conventional technique had previously failed or was not effective. A high rate of response was achieved without any significant complications.
doi_str_mv 10.1111/pace.13591
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Methods Data about the implantation procedure (age, sex, clinical characteristics, anticoagulant use, and previous devices), patient characteristics (indication, technique used, lead model, complications), and follow‐up (clinical and echocardiographic outcome, LV lead electrical measurements) were analyzed for all CRT systems implanted using LV endocardial lead, due to failed conventional implant or nonresponse, between April 2011 and November 2016. Results Thirty‐five patients were implanted with an active fixation LV endocardial lead during the study period, without significant complications. There were no dislodgements or severe complications related to the implant procedure in the follow‐up period (36 ± 20 months) and a high percentage of patients responded to therapy, as assessed by several indicators. Conclusions An LV endocardial lead implant was feasible when the conventional technique had previously failed or was not effective. A high rate of response was achieved without any significant complications.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/pace.13591</identifier><identifier>PMID: 30569458</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; Cardiac Resynchronization Therapy ; Cardiomyopathy, Dilated - therapy ; Defibrillators, Implantable ; Female ; Follow-Up Studies ; Heart ; Heart Ventricles ; Humans ; left ventricular endocardial pacing ; Male ; Pacemaker, Artificial ; Time Factors ; transseptal approach ; Treatment Outcome ; Ventricle</subject><ispartof>Pacing and clinical electrophysiology, 2019-02, Vol.42 (2), p.153-160</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3571-302eddd40ad91fa0b47a765fec737ab338100576832cd59873578e5e68e60aa73</citedby><cites>FETCH-LOGICAL-c3571-302eddd40ad91fa0b47a765fec737ab338100576832cd59873578e5e68e60aa73</cites><orcidid>0000-0001-7548-4108</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30569458$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>García Guerrero, Juan J.</creatorcontrib><creatorcontrib>Fernández de la Concha Castañeda, Joaquín</creatorcontrib><creatorcontrib>Doblado Calatrava, Manuel</creatorcontrib><creatorcontrib>Redondo Méndez, Ángel</creatorcontrib><creatorcontrib>Lázaro Medrano, Manuel</creatorcontrib><creatorcontrib>Merchán Herrera, Antonio</creatorcontrib><title>Left ventricular endocardial pacing in the real world: Five years of experience at a single center</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Background A left ventricular (LV) endocardial lead implant to achieve cardiac resynchronization therapy (CRT) is feasible when a conventional implant failed due to anatomical or technical issues or when the venous implant was performed but the patient did not respond to the therapy. 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Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>García Guerrero, Juan J.</au><au>Fernández de la Concha Castañeda, Joaquín</au><au>Doblado Calatrava, Manuel</au><au>Redondo Méndez, Ángel</au><au>Lázaro Medrano, Manuel</au><au>Merchán Herrera, Antonio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Left ventricular endocardial pacing in the real world: Five years of experience at a single center</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2019-02</date><risdate>2019</risdate><volume>42</volume><issue>2</issue><spage>153</spage><epage>160</epage><pages>153-160</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Background A left ventricular (LV) endocardial lead implant to achieve cardiac resynchronization therapy (CRT) is feasible when a conventional implant failed due to anatomical or technical issues or when the venous implant was performed but the patient did not respond to the therapy. 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subjects Aged
Cardiac Resynchronization Therapy
Cardiomyopathy, Dilated - therapy
Defibrillators, Implantable
Female
Follow-Up Studies
Heart
Heart Ventricles
Humans
left ventricular endocardial pacing
Male
Pacemaker, Artificial
Time Factors
transseptal approach
Treatment Outcome
Ventricle
title Left ventricular endocardial pacing in the real world: Five years of experience at a single center
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