Implantation Via the Femoral Vein of a Biventricular Defibrillator With Transseptal Endocardial Left Ventricular Pacing

Direct Left Ventricular Endocardial Pacing: An Alternative When Traditional Resynchronization Via Coronary Sinus Is Not Feasible or Effective

“…In two patients in whom the full ICD system was implanted via the femoral approach, the ventricular lead was prolapsed into the superior vena cava so that the coils could adopt a position similar to that obtained from subclavian access as we have described previously …”

“…This technique may be deleterious in patients with very low left ventricle ejection fraction (LVEF) and high anesthesia risk. Direct LV endocardial pacing under local anesthesia may be less risky and more effective . This article describes the technique and outcomes of transseptal LV endocardial pacing in which the lead is connected to a generator situated in a pocket created in the anterior thigh quadriceps fascia, as previously described …”

“…Direct LV endocardial pacing under local anesthesia may be less risky and more effective. [4][5][6][7] This article describes the technique and outcomes of transseptal LV endocardial pacing in which the lead is connected to a generator situated in a pocket created in the anterior thigh quadriceps fascia, as previously described. [7][8][9][10][11]…”