Sondenlose endokardiale linksventrikuläre Stimulation

Butter, Christian; Fehrendt, S.; Möller, V.; Seifert, Martin

doi:10.1007/s00399-018-0605-8

Cited by 4 publications

(1 citation statement)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The SELECT-LV trails as well as the real-world post-market registry have proven the technical feasibility but have also shown the potential risks and complications as perforation of the LV, induction of arrhythmias, and peripheral embolization of the receiver in one patient [64][65][66]. The clinical and reverse remodeling response was comparable to the standard biventricular pacing with approximately 70%.…”

Section: Epicardial Versus Endocardial (Wise) Pacing-retrograde Versus Transseptalmentioning

confidence: 94%

Optimal CRT Implantation—Where and How To Place the Left-Ventricular Lead?

Butter

Georgi

Stockburger³

2021

Curr Heart Fail Rep

View full text Add to dashboard Cite

Purpose of Review Cardiac resynchronization therapy (CRT) represents a well-established and effective non-pharmaceutical heart failure (HF) treatment in selected patients. Still, a significant number of patients remain CRT non-responders. An optimal placement of the left ventricular (LV) lead appears crucial for the intended hemodynamic and hence clinical improvement. A well-localized target area and tools that help to achieve successful lead implantation seem to be of utmost importance to reach an optimal CRT effect. Recent Findings Recent studies suggest previous multimodal imaging (CT/cMRI/ECG torso) to guide intraprocedural LV lead placement. Relevant benefit compared to empirical lead optimization is still a matter of debate. Technical improvements in leads and algorithms (e.g., multipoint pacing (MPP), adaptive algorithms) promise higher procedural success. Recently emerging alternatives for ventricular synchronization such as conduction system pacing (CSP), LV endocardial pacing, or leadless pacing challenge classical biventricular pacing. Summary This article reviews current strategies for a successful planning, implementation, and validation of the optimal CRT implantation. Pre-implant imaging modalities offer promising assistance for complex cases; empirical lead positioning and intraoperative testing remain the cornerstone in most cases and ensure a successful CRT effect.

show abstract

Section: Epicardial Versus Endocardial (Wise) Pacing-retrograde Versus Transseptalmentioning

confidence: 94%