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Abolition of Diaphragmatic Pacing by Nonsurgical Retraction of a Left Ventricular Lead
Author(s) -
HERWEG BENGT,
BAROLD S. SERGE
Publication year - 2009
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.1540-8159.2009.02447.x
Subject(s) - medicine , lead (geology) , ventricular pacing , diaphragmatic breathing , cardiology , cardiac pacing , heart failure , alternative medicine , pathology , geomorphology , geology
This report describes the nonsurgical elimination of intractable diaphragmatic stimulation by partial withdrawal of a left ventricular (LV) pacing lead (in the coronary venous system) with resultant preservation of LV pacing. The procedure entailed the use of a deflectable catheter in the right atrium for ensnaring the LV lead. At the 3‐month follow‐up, the absence of diaphragmatic stimulation was associated with a satisfactory LV pacing threshold and dramatic clinical improvement from effectual biventricular pacing.