RESUMEN
AIMS: In up to 10-15% of cases, the traditional epicardial approach for left ventricular (LV) lead placement is not feasible and surgical implantation is considered the alternative. We present the implantation of a transseptal LV lead through a left subclavian access. METHODS AND RESULTS: Through the left subclavian vein access and using a system which includes a guiding catheter, a puncture screw catheter and a puncture stylet, access to the LV was achieved and the LV stimulation lead was successfully implanted. CONCLUSION: We describe the implantation of a transseptal LV stimulation lead through a left subclavian access.
Asunto(s)
Desfibriladores Implantables , Electrodos Implantados , Insuficiencia Cardíaca/prevención & control , Tabiques Cardíacos/cirugía , Ventrículos Cardíacos/cirugía , Implantación de Prótesis/métodos , Vena Subclavia/cirugía , Anciano , Humanos , Resultado del TratamientoRESUMEN
The present document reviews various aspects of the current status of cardiac resynchronization therapy: mechanisms of action, current indications and implantation technique.
Asunto(s)
Terapia de Resincronización Cardíaca , Desfibriladores Implantables , Humanos , Selección de Paciente , Implantación de Prótesis/métodosRESUMEN
Se revisa el estado actual de la terapia de resincronización cardiaca en sus diferentes aspectos: mecanismos de acción, indicaciones actuales y técnica de implante.
The present document reviews various aspects of the current status of cardiac resynchronization therapy: mechanisms of action, current indications and implantation technique.