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Left Heart Pacing Lead Implantation Using Subxiphoid Videopericardioscopy by MARCO A. ZENATI; GIANLUCA BONANOMI; ALBERT K. CHIN; DAVID SCHWARTZMAN is a Medicine article available to read on EtoBox.

What is Left Heart Pacing Lead Implantation Using Subxiphoid Videopericardioscopy about?

__Introduction:__ Recent clinical data support the utility of left heart pacing. The transvenous approach for left heart pacing lead implantation is imperfect. A direct epicardial approach may have advantages, but heretofore its utility has been limited because of the requirement for thoracotomy. We sought to examine the feasibility of a method for epicardial lead implantation that did not require thoracotomy. __Methods and Results:__ In five large swine, percutaneous access to the epicardium was achieved with subxiphoid videopericardioscopy, using a device that marries endoscopy with a port through which pacing leads could be introduced. In each animal, standard, active fixation pacing leads were implanted onto the left atrium and ventricle. The atrial lead was implanted at the base of the appendage. The ventricular lead was implanted on the anterior, lateral, and inferior walls. Continuous direct visualization of the epicardium provided guidance for lead localization and fixation, including avoidance of complications such as trauma to epicardial coronary vessels. Capture thresholds were uniformly low. Postmortem examination demonstrated anatomically accurate, uncomplicated lead f

Who reads Left Heart Pacing Lead Implantation Using Subxiphoid Videopericardioscopy?

Author

MARCO A. ZENATI; GIANLUCA BONANOMI; ALBERT K. CHIN; DAVID SCHWARTZMAN

Publisher

John Wiley and Sons; Wiley (Blackwell Publishing); Futura Publishing Company, Inc; Blackwell Publishing Inc.; Wiley (ISSN 1540-8167)

Published

2003

Language

EN

Field

Medicine (Health Sciences)