Cargando…

Navigating Challenging Left Ventricular Lead Placements for Cardiac Resynchronization Therapy

Cardiac resynchronization therapy (CRT) is a mainstay in the management of heart failure patients with electrical dyssynchrony. Left ventricular (LV) lead positioning remains an important variable that predicts the response to CRT. Anatomical and technical challenges can hinder optimal LV lead place...

Descripción completa

Detalles Bibliográficos
Autores principales: Pothineni, Naga Venkata K., Supple, Gregory E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MediaSphere Medical 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244170/
https://www.ncbi.nlm.nih.gov/pubmed/32461816
http://dx.doi.org/10.19102/icrm.2020.110505
_version_ 1783537531980087296
author Pothineni, Naga Venkata K.
Supple, Gregory E.
author_facet Pothineni, Naga Venkata K.
Supple, Gregory E.
author_sort Pothineni, Naga Venkata K.
collection PubMed
description Cardiac resynchronization therapy (CRT) is a mainstay in the management of heart failure patients with electrical dyssynchrony. Left ventricular (LV) lead positioning remains an important variable that predicts the response to CRT. Anatomical and technical challenges can hinder optimal LV lead placement using traditional lead implantation approaches. Knowledge of normal anatomical variants and common anomalies is essential for successful LV lead implants. With advancements in tools and techniques for LV lead delivery, the implanting electrophysiologist can target the optimal LV pacing site, rather than accepting a suboptimal location that is less likely to provide clinical benefit. In this review, we discuss various challenges to achieving optimal LV lead implantation and present strategies to overcome them.
format Online
Article
Text
id pubmed-7244170
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MediaSphere Medical
record_format MEDLINE/PubMed
spelling pubmed-72441702020-05-26 Navigating Challenging Left Ventricular Lead Placements for Cardiac Resynchronization Therapy Pothineni, Naga Venkata K. Supple, Gregory E. J Innov Card Rhythm Manag Research Review Cardiac resynchronization therapy (CRT) is a mainstay in the management of heart failure patients with electrical dyssynchrony. Left ventricular (LV) lead positioning remains an important variable that predicts the response to CRT. Anatomical and technical challenges can hinder optimal LV lead placement using traditional lead implantation approaches. Knowledge of normal anatomical variants and common anomalies is essential for successful LV lead implants. With advancements in tools and techniques for LV lead delivery, the implanting electrophysiologist can target the optimal LV pacing site, rather than accepting a suboptimal location that is less likely to provide clinical benefit. In this review, we discuss various challenges to achieving optimal LV lead implantation and present strategies to overcome them. MediaSphere Medical 2020-05-15 /pmc/articles/PMC7244170/ /pubmed/32461816 http://dx.doi.org/10.19102/icrm.2020.110505 Text en Copyright: © 2020 Innovations in Cardiac Rhythm Management http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Review
Pothineni, Naga Venkata K.
Supple, Gregory E.
Navigating Challenging Left Ventricular Lead Placements for Cardiac Resynchronization Therapy
title Navigating Challenging Left Ventricular Lead Placements for Cardiac Resynchronization Therapy
title_full Navigating Challenging Left Ventricular Lead Placements for Cardiac Resynchronization Therapy
title_fullStr Navigating Challenging Left Ventricular Lead Placements for Cardiac Resynchronization Therapy
title_full_unstemmed Navigating Challenging Left Ventricular Lead Placements for Cardiac Resynchronization Therapy
title_short Navigating Challenging Left Ventricular Lead Placements for Cardiac Resynchronization Therapy
title_sort navigating challenging left ventricular lead placements for cardiac resynchronization therapy
topic Research Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244170/
https://www.ncbi.nlm.nih.gov/pubmed/32461816
http://dx.doi.org/10.19102/icrm.2020.110505
work_keys_str_mv AT pothineninagavenkatak navigatingchallengingleftventricularleadplacementsforcardiacresynchronizationtherapy
AT supplegregorye navigatingchallengingleftventricularleadplacementsforcardiacresynchronizationtherapy