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The Right Ventricular Outflow Tract: The Road to Septal Pacing
Author(s) -
MOND HARRY G.,
HILLOCK RICHARD J.,
STEVENSON IRENE H.,
McGAVIGAN ANDREW D.
Publication year - 2007
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.1540-8159.2007.00697.x
Subject(s) - medicine , stylet , ventricular outflow tract , cardiology , outflow , lead (geology) , apex (geometry) , surgery , anatomy , physics , geomorphology , meteorology , geology
Background: Pacing from the right ventricular apex is associated with long‐term adverse effects on left ventricular function. This has fuelled interest in alternative pacing sites, especially the septal aspect of the right ventricular outflow tract (RVOT). However, it is a common perception that septal RVOT pacing is difficult to achieve.Methods and Results: In this article, we will review the anatomy of the RVOT and discuss the importance of standard radiographic views and the 12‐lead electrocardiogram in aiding lead placement. We will also describe a method utilizing a novel stylet shape, whereby a conventional active‐fixation, stylet‐driven lead can be easily and reliably deployed onto the RVOT septum.