Journal article

Right ventricular septal pacing: the success of stylet-driven active-fixation leads.

Raphael Rosso, Andrew W Teh, Caroline Medi, Thuy To Hung, Richard Balasubramaniam, Harry G Mond

Pacing Clin Electrophysiol | Published : 2010

Abstract

BACKGROUND: The detrimental effects of right ventricular (RV) apical pacing on left ventricular function has driven interest in alternative pacing sites and in particular the mid RV septum and RV outflow tract (RVOT). RV septal lead positioning can be successfully achieved with a specifically shaped stylet and confirmed by the left anterior oblique (LAO) fluoroscopic projection. Such a projection is neither always used nor available during pacemaker implantation. The aim of this study was to evaluate how effective is the stylet-driven technique in septal lead placement guided only by posterior-anterior (PA) fluoroscopic view. METHODS: One hundred consecutive patients with an indication for s..

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