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Linksventrikuläre Stimulation und CRT

Welche Elektrode passt zu welcher Vene?

Left ventricular pacing and CRT. What CV lead fits into which vein?

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Summary

The experience of 579 patients with left ventricular pacing specific characteristics of various leads and lead types for left ventricular stimulation are reported. After describing the advantages of coronary vein (CV) leads versus epicardial lead usage for left ventricular stimulation, commercially available CV leads are introduced and discussed. Since there is no universally applicable CV lead, the individual optimal lead choice and the sequelae of erroneous lead choice are described in typical clinical examples.

Zusammenfassung

Basierend auf der Erfahrung von 579 Patienten mit linksventrikulärer Stimulation werden die unterschiedlichen Elektrodentypen zur Stimulation des linken Ventrikels und ihre spezifischen Charakteristika vorgestellt. Neben der Beschreibung der Vorteile von Koronarvenen(CV)-Elektroden gegenüber epikardialen Elektroden bei der Stimulation des linken Ventrikels erfolgt die Vorstellung der verwendeten CV-Elektroden. Da bislang keine universell implantierbare CV-Elektrode verfügbar ist, wird anhand typischer klinischer Beispiele die optimale individuelle Elektrodenauswahl und die Folgen einer falschen Elektrodenwahl beschrieben.

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Authors and Affiliations

  1. Herz- und Diabeteszentrum Nordrhein-Westfalen, Ruhruniversität Bochum, Klinik für Thorax- und Kardiovaskularchirurgie, Georgstraße 11, 32545, Bad Oeynhausen

    B. Hansky,  H. Gueldner &  R. Koerfer

  2. Herz- und Diabeteszentrum Nordrhein-Westfalen, Ruhruniversität Bochum, Kardiologische Klinik, 32545, Bad Oeynhausen

    J. Vogt,  J. Heintze,  B. Lamp &  D. Horstkotte

Authors
  1. B. Hansky
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  2. J. Vogt
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  3. H. Gueldner
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  4. J. Heintze
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  5. B. Lamp
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  6. D. Horstkotte
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  7. R. Koerfer
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Corresponding author

Correspondence to B. Hansky.

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Hansky, B., Vogt, J., Gueldner, H. et al. Linksventrikuläre Stimulation und CRT. Herzschr. Elektrophys. 17 (Suppl 1), i14–i19 (2006). https://doi.org/10.1007/s00399-006-1103-y

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  • DOI: https://doi.org/10.1007/s00399-006-1103-y

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