Minimal invasive epicardial lead implantation: optimizing cardiac resynchronization with a new mapping device for epicardial lead placement☆ | Zendy

Jos G. Maessen | Zendy; Bruce H. Phelps | Zendy; André Dekker | Zendy; Barbara Dijkman | Zendy

Open Access

Minimal invasive epicardial lead implantation: optimizing cardiac resynchronization with a new mapping device for epicardial lead placement☆

Author(s) -

Jos G. Maessen,

Bruce H. Phelps,

André Dekker,

Barbara Dijkman

Publication year - 2004

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2004.01.055

Subject(s) - lead (geology) , cardiac resynchronization therapy , cardiology , functional mitral regurgitation , site selection , medicine , heart failure , geology , ejection fraction , geomorphology , political science , law

To optimize resynchronization in biventricular pacing with epicardial leads, mapping to determine the best pacing site, is a prerequisite. A port access surgical mapping technique was developed that allowed multiple pace site selection and reproducible lead evaluation and implantation. Pressure-volume loops analysis was used for real time guidance in targeting epicardial lead placement. Even the smallest changes in lead position revealed significantly different functional results. Optimizing the pacing site with this technique allowed functional improvement up to 40% versus random pace site selection.

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