Hybrid implantation of Cardiac resynchronization therapy device
Recent trials have proven the clinical and functional benefits of cardiac resynchronization therapy (CRT) by biventricular pacing in patients (pts) with severe heart failure and intraventricular conduction delay, principally left bundle branch block (LBBB). However, placement of the transvenous left...
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Indonesian Heart Association
2013-06-01
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doaj-db6089af4431415fb4dfaa42b54a630f2020-11-25T00:52:41ZengIndonesian Heart AssociationMajalah Kardiologi Indonesia0126-37732620-47622013-06-0131210.30701/ijc.v31i2.146Hybrid implantation of Cardiac resynchronization therapy deviceAlexander Edo Tondas0Yoga Yuniadi1Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, and National Cardiovascular Center Harapan KitaDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, and National Cardiovascular Center Harapan KitaRecent trials have proven the clinical and functional benefits of cardiac resynchronization therapy (CRT) by biventricular pacing in patients (pts) with severe heart failure and intraventricular conduction delay, principally left bundle branch block (LBBB). However, placement of the transvenous left ventricular lead of CRT device is unsuccessful in 510% of patients and a further 20% fail to respond. For these groups, epicardial left ventricular lead placement is one alternative A 75-year-old male patient diagnosed as non ischemic dilated cardiomyopa-thy patient NYHA Class III-IV meeting the clinical initiation criteria of QRS duration > 120 msec, and low ejection fraction (=35%), with worsening symptoms despite one year of medical therapy.A hybrid approach of LV lead implantation by mini thoracostomy and conventional implantation of the RA and RV leads were performed because the coronary sinus cannot be accessed transvenously due to small caliber even after angioplasty. The patient responded quite well to CRT and was discharged with stable he-modynamics, and NYHA Functional Class II.http://ijconline.id/index.php/ijc/article/view/146dilated cardiomyopathycardiac resynchronization therapy (CRT)hybrid approach |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alexander Edo Tondas Yoga Yuniadi |
spellingShingle |
Alexander Edo Tondas Yoga Yuniadi Hybrid implantation of Cardiac resynchronization therapy device Majalah Kardiologi Indonesia dilated cardiomyopathy cardiac resynchronization therapy (CRT) hybrid approach |
author_facet |
Alexander Edo Tondas Yoga Yuniadi |
author_sort |
Alexander Edo Tondas |
title |
Hybrid implantation of Cardiac resynchronization therapy device |
title_short |
Hybrid implantation of Cardiac resynchronization therapy device |
title_full |
Hybrid implantation of Cardiac resynchronization therapy device |
title_fullStr |
Hybrid implantation of Cardiac resynchronization therapy device |
title_full_unstemmed |
Hybrid implantation of Cardiac resynchronization therapy device |
title_sort |
hybrid implantation of cardiac resynchronization therapy device |
publisher |
Indonesian Heart Association |
series |
Majalah Kardiologi Indonesia |
issn |
0126-3773 2620-4762 |
publishDate |
2013-06-01 |
description |
Recent trials have proven the clinical and functional benefits of cardiac resynchronization therapy (CRT) by biventricular pacing in patients (pts) with severe heart failure and intraventricular conduction delay, principally left bundle branch block (LBBB). However, placement of the transvenous left ventricular lead of CRT device is unsuccessful in 510% of patients and a further 20% fail to respond. For these groups, epicardial left ventricular lead placement is one alternative A 75-year-old male patient diagnosed as non ischemic dilated cardiomyopa-thy patient NYHA Class III-IV meeting the clinical initiation criteria of QRS duration > 120 msec, and low ejection fraction (=35%), with worsening symptoms despite one year of medical therapy.A hybrid approach of LV lead implantation by mini thoracostomy and conventional implantation of the RA and RV leads were performed because the coronary sinus cannot be accessed transvenously due to small caliber even after angioplasty. The patient responded quite well to CRT and was discharged with stable he-modynamics, and NYHA Functional Class II. |
topic |
dilated cardiomyopathy cardiac resynchronization therapy (CRT) hybrid approach |
url |
http://ijconline.id/index.php/ijc/article/view/146 |
work_keys_str_mv |
AT alexanderedotondas hybridimplantationofcardiacresynchronizationtherapydevice AT yogayuniadi hybridimplantationofcardiacresynchronizationtherapydevice |
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