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Coronary Sinus Lead Positioning

Roka, Attila; Borgquist, Rasmus LU and Singh, Jagmeet (2015) In Cardiac Electrophysiology Clinics 7(4). p.47-635
Abstract

Although cardiac resynchronization therapy improves morbidity and mortality in patients with cardiomyopathy, heart failure, and electrical dyssynchrony, the rate of nonresponders using standard indications and implant techniques is still high. Optimal coronary sinus lead positioning is important to increase the chance of successful resynchronization. Patient factors such as cause of heart failure, type of dyssynchrony, scar burden, coronary sinus anatomy, and phrenic nerve capture may affect the efficacy of the therapy. Several modalities are under investigation. Alternative left ventricular lead implantation strategies are occasionally required when the transvenous route is not feasible or would result in a suboptimal lead position.

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author
publishing date
type
Contribution to journal
publication status
published
keywords
Cardiac Resynchronization Therapy Devices, Coronary Sinus, Electrodes, Implanted, Evidence-Based Medicine, Heart Failure, Humans, Prosthesis Implantation, Treatment Outcome, Ventricular Dysfunction, Left, Journal Article, Research Support, Non-U.S. Gov't, Review
in
Cardiac Electrophysiology Clinics
volume
7
issue
4
pages
13 pages
publisher
W.B. Saunders Ltd
external identifiers
  • scopus:84961678064
ISSN
1877-9182
DOI
10.1016/j.ccep.2015.08.004
language
English
LU publication?
no
id
128bf12e-50ba-4907-82bb-2ff6072b973c
date added to LUP
2016-11-24 21:17:01
date last changed
2017-01-01 08:40:46
@article{128bf12e-50ba-4907-82bb-2ff6072b973c,
  abstract     = {<p>Although cardiac resynchronization therapy improves morbidity and mortality in patients with cardiomyopathy, heart failure, and electrical dyssynchrony, the rate of nonresponders using standard indications and implant techniques is still high. Optimal coronary sinus lead positioning is important to increase the chance of successful resynchronization. Patient factors such as cause of heart failure, type of dyssynchrony, scar burden, coronary sinus anatomy, and phrenic nerve capture may affect the efficacy of the therapy. Several modalities are under investigation. Alternative left ventricular lead implantation strategies are occasionally required when the transvenous route is not feasible or would result in a suboptimal lead position.</p>},
  author       = {Roka, Attila and Borgquist, Rasmus and Singh, Jagmeet},
  issn         = {1877-9182},
  keyword      = {Cardiac Resynchronization Therapy Devices,Coronary Sinus,Electrodes, Implanted,Evidence-Based Medicine,Heart Failure,Humans,Prosthesis Implantation,Treatment Outcome,Ventricular Dysfunction, Left,Journal Article,Research Support, Non-U.S. Gov't,Review},
  language     = {eng},
  number       = {4},
  pages        = {47--635},
  publisher    = {W.B. Saunders Ltd},
  series       = {Cardiac Electrophysiology Clinics},
  title        = {Coronary Sinus Lead Positioning},
  url          = {http://dx.doi.org/10.1016/j.ccep.2015.08.004},
  volume       = {7},
  year         = {2015},
}