Percutaneous epicardial pacing using a novel transverse sinus device

Vaidya, Vaibhav R.; Sugrue, Alan; Padmanabhan, Deepak; Killu, Ammar M.; Naksuk, Niyada; Al-Masry, Anas Abudan; Isath, Ameesh; Pedersen, Joanne; Yngsdal, Lisa; Ladewig, Dorothy J.; Friedman, Paul A.; Asirvatham, Samuel J.

doi:10.1111/jce.13661

Cited by 4 publications

(2 citation statements)

References 28 publications

(44 reference statements)

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“…Efficacy and mortality were usually comparable to patients with endocardial implanted systems, especially if steroid-eluting epicardial leads were used [44,45]. Moreover, new percutaneously implantable epicardial systems have been successfully tested in animal models [46,47]. Some concerns are raised in terms of long-term outcomes.…”

Section: Cieds In a Patient On Hemodialysismentioning

confidence: 99%

Cardiac Implantable Electronic Devices in Hemodialysis and Chronic Kidney Disease Patients—An Experience-Based Narrative Review

Nowak

Kusztal

2021

JCM

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Cardiovascular implantable electronic devices (CIEDs) are a standard therapy utilized for different cardiac conditions. They are implanted in a growing number of patients, including those with chronic kidney disease (CKD) and end-stage kidney disease (ESKD). Cardiovascular diseases, including heart failure and malignant arrhythmia, remain the leading cause of mortality among CKD patients, especially in ESKD. CIED implantation procedures are considered minor surgery, typically with transvenous leads inserted via upper central veins, followed by an impulse generator introduced subcutaneously. A decision regarding optimal hemodialysis (HD) modality and the choice of permanent vascular access (VA) could be particularly challenging in CIED recipients. The potential consequences of arteriovenous access on the CIED side are related to (1) venous hypertension from lead-related central vein stenosis and (2) the risk of systemic infection. Therefore, when creating permanent vascular access, the clinical scenario may be complicated by the CIED presence on one side and the lack of suitable vessels for arteriovenous fistula on the contralateral arm. These factors suggest the need for an individualized approach according to different clinical situations: (1) CIED in a CKD patient; (2) CIED in a patient on hemodialysis CIED; and (3) VA in a patient with CIED. This complex clinical conundrum creates the necessity for close cooperation between cardiologists and nephrologists.

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Section: Cieds In a Patient On Hemodialysismentioning

confidence: 99%

Cardiac Implantable Electronic Devices in Hemodialysis and Chronic Kidney Disease Patients—An Experience-Based Narrative Review

Nowak

Kusztal

2021

JCM

View full text Add to dashboard Cite

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“…A novel method of epicardial pacing and defibrillation using the transverse sinus as an anchor point was pro posed by Vaidya et al 36,37 Transvenous implantation of pacing or defibrillation leads is the most typical tech nique of lead placement. However, there are multiple potential drawbacks to this approach.…”

Section: Percutaneous Transverse Sinus Epicardial Pacing and Defibrillation Devicementioning

confidence: 99%