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Lead selection and implantation technique for biventricular pacing

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Coronary venous leads are the leads of choice in cardiac resynchronisation therapy. They can be placed with excellent electrical thresholds in previously cardiotomised patients. Due to the enormous morphologic variability of the coronary venous anatomy, the leads have to be selected with respect to each individual case. The use of different leads make a coronary venous approach possible in 95% of all cases which is by far less traumatising than the epicardial one. The removal of even long-term implanted leads does not cause any difficulties. Epicardial leads should be placed, if the transvenous approach is technically unsuccessful or if cardiotomy is necessary for other reasons. In these cases biventricular stimulation can be performed by additional temporary pacing wires at the right atrium and both ventricles.Definitive right heart lead placement can be performed during a second procedure after recovery from the previous surgery.

KEYWORDS Cardiac resynchronisation therapy; Biventricular pacing; Implantation technique; Lead election

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Ketersediaan

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Informasi Detail

Judul Seri

European Heart Journal Supplements

No. Panggil

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Penerbit

: Elsevier Ltd on behalf of The European Society of Cardiology., 2004

Deskripsi Fisik

European Heart Journal Supplements (2004) 6 (Supplement D), D112–D116

Bahasa

English

ISBN/ISSN

1520765X

Klasifikasi

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Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

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Subjek

BIOKIMIA

Info Detail Spesifik

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Pernyataan Tanggungjawab

hasnidar/agus

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