Premium
Upgrading Patients with Chronic Defibrillator Leads to a Biventricular System and Reducing Patient Risk: Contralateral LV Lead Placement
Author(s) -
FOX DAVID J.,
PETKAR SANJIV,
DAVIDSON NEIL C.,
FITZPATRICK ADAM P.
Publication year - 2006
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2006.00482.x
Subject(s) - medicine , lead (geology) , cardiology , cardiac resynchronization therapy , implantable cardioverter defibrillator , defibrillation , stenosis , heart failure , ejection fraction , geomorphology , geology
Increasing numbers of patients with indwelling single‐ or dual‐ chamber internal cardioverter defibrillators (ICDs) will require upgrading of an existing system to a biventricular ICD providing cardiac resynchronization with back‐up defibrillation. Upgrading, usually by the addition of a new left ventricular (LV) lead, can be technically challenging with central venous occlusion or stenosis often being the main obstacle to a successful procedure. We report a new technique of implanting a LV lead from the contralateral side to the existing ICD system to minimize the peri‐ and postoperative risk to the patient.