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Lead selection and implantation technique for biventricular pacing

Bert Hanskya,*, Sebastian Schulte-Eistrupa, Jürgen Vogtb, Holger Gueldnera, Kazutomo Minamia, Dieter Horstkotteb and Reiner Körfera

a Department of Thoracic and Cardiovascular Surgery, Heart Centre North Rhine-Westphalia, Ruhr University, Bochum, Bad Oeynhausen, Germany
b Department of Cardiololgy, Heart Centre North Rhine-Westphalia, Ruhr University Bochum, Bad Oeynhausen, Germany

Received 3 May 2004; accepted 24 May 2004.

* Bert Hansky, MD, Department of Thoracic and Cardiovascular Surgery, Heart Centre North Rhine-Westphalia, Ruhr University Bochum, 32545 Bad Oeynhausen, Germany. Tel.: +49-5731-970; fax: +49-5731-971820
bhansky{at}hdz-nrw.de

Abstract

Based on the recent experience of 464 patients with left ventricular pacing, we report on specific characteristics of various leads and lead types for left ventricular stimulation. In addition to describing the technique and indications for epicardial lead usage, commercially available coronary vein leads are introduced and discussed. Since there is no universally applicable coronary vein lead, the individually optimal lead choice and the sequelae of an erroneous lead selection are described in typical clinical examples.

Key Words: Cardiac resynchronisation therapy • Biventricular pacing • Implantation technique • Lead selection


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