Leadless left ventricular endocardial pacing in nonresponders to conventional cardiac resynchronization therapy - Aix-Marseille Université Accéder directement au contenu
Article Dans Une Revue PACE - Pacing and Clinical Electrophysiology Année : 2020

Leadless left ventricular endocardial pacing in nonresponders to conventional cardiac resynchronization therapy

Baldeep Sidhu
Justin Gould
Mark Elliott
Vishal Mehta
Angelo Auricchio
Prashanthan Sanders

Résumé

Background: Endocardial pacing may be beneficial in patients who fail to improve following conventional epicardial cardiac resynchronization therapy (CRT). The potential to pace anywhere inside the left ventricle thus avoiding myocardial scar and targeting the latest activating segments may be particularly important. The WiSE-CRT system (EBR systems, Sunnyvale, CA) reliably produces wireless, endocardial left ventricular (LV) pacing. The purpose of this analysis was to determine whether this system improved symptoms or led to LV remodeling in patients who were nonresponders to conventional CRT. Method: An international, multicenter registry of patients who were nonresponders to conventional CRT and underwent implantation with the WiSE-CRT system was collected. Results: Twenty-two patients were included; 20 patients underwent successful implantation with confirmation of endocardial biventricular pacing and in 2 patients, there was a failure of electrode capture. Eighteen patients proceeded to 6-month follow-up; endocardial pacing resulted in a This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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Origine : Publication financée par une institution

Dates et versions

hal-03148900 , version 1 (22-02-2021)

Licence

Paternité - Pas d'utilisation commerciale

Identifiants

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Baldeep Sidhu, Bradley Porter, Justin Gould, Benjamin Sieniewicz, Mark Elliott, et al.. Leadless left ventricular endocardial pacing in nonresponders to conventional cardiac resynchronization therapy. PACE - Pacing and Clinical Electrophysiology, 2020, 43 (9), pp.966-973. ⟨10.1111/pace.13926⟩. ⟨hal-03148900⟩
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