Technique of the cardiac resynchronization therapy device implantation Cardiac resynchronization therapy implantation technique
Main Article Content
Abstract
Introduction
Cardiac resynchronization therapy has become an established treatment modality for patients with advanced heart failure and left bundle branch block. In 2016 we started the implantation of the CRT devices in Medpark International Hospital and for the first time in The Republic of Moldova. Taking into consideration the lack of the experience we had to face the challenges and quickly implement all the published data. From April 2016 till April 2023 in our center were implanted 49 CRT devices.
Objective
The purpose of the current article is to describe our technique of CRT implantation and the subsequent follow-up of the patients.
Conclusion
Cardiac resynchronization therapy is an important tool in heart failure management. The implantation could be a challenging procedure and many complications could arise. Is important to develop a proper strategy to face all the challenges.
Article Details
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References
2. Glikson M, Nielsen JC, Kronborg MB, et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy [published correction appears in Eur Heart J. 2022 May 1;43(17):1651]. Eur Heart J. 2021;42(35):3427-3520. doi:10.1093/eurheartj/ehab364
3. Darciuc R, Boiciuc I, Ivanov D, Diker E. Cardiac resynchronization therapy in the Republic of Moldova: The beginning of the journey. Heart Rhythm O2. 2022;3(6Part B):728-730. Published 2022 Dec 16. doi:10.1016/j.hroo.2022.09.01
4. AlTurki A, Proietti R, Birnie DH, Essebag V. Management of antithrombotic therapy during cardiac implantable device surgery. J Arrhythm. 2016;32(3):163-169. doi:10.1016/j.joa.2015.12.003
5. Birnie DH, Wang J, Alings M, et al. Risk Factors for Infections Involving Cardiac Implanted Electronic Devices [published correction appears in J Am Coll Cardiol. 2020 Feb 25;75(7):840-841] [published correction appears in J Am Coll Cardiol. 2020 Aug 11;76(6):762]. J Am Coll Cardiol. 2019;74(23): 2845-2854. doi:10.1016/j.jacc.2019.09.060
6. Burri H, Sunthorn H, Dorsaz PA, Shah D. Prospective study of axillary vein puncture with or without contrast venography for pacemaker and defibrillator lead implantation. Pacing Clin Electrophysiol. 2005;28 Suppl 1:S280-S283. doi:10.1111/j.1540-8159.2005.00039.x
7. Aoukar PS, Poole JE, Johnson GW, et al. No benefit of a dual coil over a single coil ICD lead: evidence from the Sudden Cardiac Death in Heart Failure Trial. Heart Rhythm. 2013;10(7):970-976. doi:10.1016/j.hrthm.2013.03.046
8. Sunderland N, Kaura A, Murgatroyd F, Dhillon P, Scott PA. Outcomes with single-coil versus dual-coil implantable cardioverter defibrillators: a meta-analysis. Europace. 2018; 20(3):e21-e29. doi:10.1093/europace/euw438
9. Cheng CM, Huang JL, Wu TJ, et al. Novel tips for engaging the coronary sinus guided by right ventricular lead. Europace. 2012;14 (12):1754-1758. doi:10.1093/europace/eus192
10. Gunes H, Aksu E, Nacar H, Kerkutluoglu M, Gunes H, Ozgul S. What is the most appropriate method for coronary sinus cannulation? The telescopic method or the electrophysiologic method?. PLoS One. 2018;13(9):e0203534. Published 2018 Sep 14. doi:10.1371/journal.pone.0203534
11. Katritsis DG. A novel technique for placement of coronary sinus pacing leads in cardiac resynchronization therapy. Europace. 2007;9(10):878-879. doi:10.1093/europace/eum146
12. Padala SK, Ellenbogen KA. Left bundle branch pacing is the best approach to physiological pacing. Heart Rhythm O2. 2020;1(1):59-67. Published 2020 Apr 27. doi:10.1016/j.hroo.2020.03.002
13. Rijal S, Wolfe J, Rattan R, et al. Lead related complications in quadripolar versus bipolar left ventricular leads. Indian Pacing Electrophysiol J. 2017;17(1):3-7. doi:10.1016/j.ipej.2016.10.008
14. Beton O, Saricam E, Kaya H, et al. Bleeding complications during cardiac electronic device implantation in patients receiving antithrombotic therapy: is there any value of local tranexamic acid?. BMC Cardiovasc Disord. 2016;16:73. Published 2016 Apr 22. doi:10.1186/s12872-016-0251-1