ISSN: 2155-9880
+44 1300 500008
Andrea Droghetti
Thoracic Surgery Mantova-Cremona,
Viale Lago Paiolo 10 â 46100, Mantova
Italy
Research Article
Minimally Invasive Thoracoscopic Technique for LV Lead Implantation in CRT Patients
Author(s): Andrea Droghetti, Stefano Branzoli, Paolo Moggio, Giuseppina Belotti, Sergio Valsecchi, Alessio Coser, Fabrizio Guarracini, Silvia Quintarelli, Carlo Pederzolli, Angelo Graffigna, Roberto Bonmassari, Claudio Pomarolli, Giulio Molon, Maria Caterina Bottoli, Maurizio Centonze, Monica Campari and Massimiliano Marini
Andrea Droghetti, Stefano Branzoli, Paolo Moggio, Giuseppina Belotti, Sergio Valsecchi, Alessio Coser, Fabrizio Guarracini, Silvia Quintarelli, Carlo Pederzolli, Angelo Graffigna, Roberto Bonmassari, Claudio Pomarolli, Giulio Molon, Maria Caterina Bottoli, Maurizio Centonze, Monica Campari and Massimiliano Marini
Background: Epicardial placement of the left ventricular (LV) lead is an alternative approach to the standard cardiac resynchronization therapy (CRT) procedure. In our center we developed a minimally invasive thoracoscopic technique. We reviewed our experience to evaluate the long-term safety and effectiveness of the technique.
Methods: The procedure is performed under general anesthesia with oro-tracheal intubation and right-sided ventilation, and requires 3 thoracoscopic ports (two 5-mm and one 15-mm). We analyzed 94 consecutive patients referred to our center for epicardial LV lead implantation.
Results: Five patients were excluded because of concomitant conditions precluding surgery or lack of indication for CRT. The remaining 89 patients underwent the procedure. Of these, 57 had undergone previous unsuccessful LV le.. View More»
DOI:
10.4172/2155-9880.1000575