Biventricular Implantable Cardioverter Defibrillator ...

She also agreed to a hybrid approach, if placement of the LV lead via the femoral vein was unsuccessful, with epicardial placement of an LV lead and tunneling of a femoral access right ventricular (RV) pace/shock lead and atrial lead. She declined placement of a simple BiV pacemaker by an epicardial approach unless the BiV/ICD by femoral or ...

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ICD systems consist of a pulse generator, typically placed in the pectoral region, and one or more leads which attach the pulse generator to the heart, most commonly to the endocardium via transvenous insertion (in rare circumstances epicardial leads can be used, but these require a thoracotomy and are typically only used if transvenous lead ...

Cardiac Perforation Associated with a Pacemaker or ICD Lead

backup support. Then the lead was re-implanted in the septal area. Fig. 2. Multi-detector CT scan images. A, Distal portion of the lead (dotted circle) is obs erved in the 3D reconstruction image. B, Arrowheads indicate the pacemaker lead penetrating RV apical myocardium and extending to anterior chest wall. LV, left ventricle; RV, right ventricle.

A meta-analysis including seven CRT trials revealed an average LV lead dislodgement rate of 5.7% (range 2.8 to 10.6%). 31 Causes of LV lead dislodgement include poor lead redundancy (overredundant or underredundant); unstable lead location; poor selection of an available LV lead, such as placing a long spiral lead in a short vein segment epicardial lv lead placement cpt code ...

Leadless left ventricular endocardial pacing: a real ...

Other approaches for non-responders or failed CRT include surgical epicardial LV lead implant and transseptal endocardial LV lead placement. Surgical technique is more invasive than percutaneous one, as it requires a minithoracotomy and can be challenging in patients with prior cardiac surgery with consequent pericardial adhesions.

Novel Speckle-Tracking Radial Strain From Routine Black ...

Biventricular pacing systems were implanted with LV lead placement in epicardial veins via the coronary sinus in 67 patients and in the epicardium by surgery in 2 patients. LV leads were positioned as follows: posterolateral or lateral in 60 and anterior or anterolateral in 9.

Trans-Fontan baffle placement of an endocardial systemic ...

ing system, with epicardial bipolar leads placed on the right atrium and the anterior apical portion of the right ventricle (RV), and a unipolar lead on the apical posterior LV, tunneled to an abdominal generator. The patient epicardial lv lead placement cpt code subsequently developed failing Fontan phys-iology, presenting at …

040919 LCD-L33271 Checklist Cardiac Resynchronization …

In these situations, epicardial lv lead placement cpt code an epicardial (open) approach by thoracotomy is performed, if the transvenous approach is unsuccessful. A short inpatient stay may be required for epicardial left ventricular lead placement. These procedures must be performed in an inpatient only hospital setting ordered by the treating physician.

MRI SureScan Pacing Leads - Medtronic

The CapSureFix Novus MRI SureScan Model 5076 was the second pacing lead to be approved for use in the MRI environment. More than 3.2 million of these leads have been sold worldwide with 97.6% reliability at 10 years. 2,3. CapSure Sense MRI SureScan Models 4074, 4574


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