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Pacing Follow Up Techniques and Trouble Shooting During Biventricular Pacing

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Abstract

Cardiac resynchronization has proven to be a useful adjunct therapy for heart failure patients with ventricular conduction disturbances. However, new issues have emerged including the follow-up and trouble-shooting of the biventricular devices. Peri-implant and immediate post-implant follow-up is necessary if procedure-related complications are to be revealed and proper system functioning ensured. Additionally, during the long-term follow-up the optimum device functioning should be evaluated, as should the patient's clinical and functional improvement. Finally, trouble-shooting resulting from the use of biventricular devices is another matter that needs to be addressed and physicians active in the field should continually upgrade their knowledge in the constantly evolving technologies of cardiac resynchronizers.

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References

  1. Cazeau S, Leclercq C, Lavergne T, Walker S, Varma C, Linde C, Garrigue S, Kappenberger L, Haywood GA, Santini M, Bailleul C, Daubert JC. Effects of multisite biventricular pacing in patients with heart failure Pacing Follow Up Techniques and Trouble Shooting During Biventricular Pacing 187 and intraventricular conduction delay. N Engl J Med 2001;344(12):873–880.

    Google Scholar 

  2. Linde C, Leclercq C, Rex S, Garrigue S, Lavergne T, Cazeau S, McKenna W, Fitzgerald M, Deharo JC, Alonso C, Walker S, Braunschweig F, Bailleul C, Daubert JC. Long-term benefits of biventricular pacing in congestive heart failure: Results from the MUltisite STimulation in cardiomyopathy (MUSTIC) study. J Am Coll Cardiol 2002;40(1):111–118.

    Google Scholar 

  3. Abraham WT, Fisher WG, Smith AL, Delurgio DB, Leon AR, Loh E, Kocovic DZ, Packer M, Clavell AL, Hayes DL, Ellestad M, Trupp RJ, Underwood J, Pickering F, Truex C, McAtee P, Messenger J. Cardiac resynchronization in chronic heart failure. N Engl J Med 2002;346(24):1845–1853.

    Google Scholar 

  4. Ricci R, Ansalone G, Toscano SC, Pignalberi, Lunati M, Gasparini M, Padeletti L, Disertori M, Ravassi PA, Santini M on behalf of the InSync Italian Registry Investigators. Cardiac resynchronization: Materials, technique and results. The InSync Italian Registry. Eur Heart J Supp 2000;2(Suppl J):J6–J15.

    Google Scholar 

  5. Kass DA, Chen CH, Curry C, Talbot M, Berger R, Fetics B, Nevo E. Improved left ventricular mechanics from acute VDD pacing in patients with dilated cardiomyopathy and ventricular conduction delay. Circulation 1999;99(12):1567–1573.

    Google Scholar 

  6. Nelson GS, Berger RD, Fetics BJ, Talbot M, Spinelli JC, Hare JM, Kass DA. Left ventricular or biventricular pacing improves cardiac function at diminished energy cost in patients with dilated cardiomyopathy and left bundlebranch block. Circulation 2000;102(25):3053–3059.

    Google Scholar 

  7. Auricchio A, Stellbrink C, Block M, Sack S, Vogt J, Bakker P, Klein H, Kramer A, Ding J, Salo R, Tockman B, Pochet T, Spinelli J. Effect of pacing chamber and atrioventricular delay on acute systolic function of paced patients with congestive heart failure. The Pacing Therapies for Congestive Heart Failure Study Group. The Guidant Congestive Heart Failure Research Group. Circulation 1999;99(23):2993–3001.

    Google Scholar 

  8. Curnis A, Neri R, Mascioli G, Cesario AS Left ventricular pacing lead choice based on coronary sinus venous anatomy. Eur Heart J Supp 2000;2(Suppl J):J31–J36

    Google Scholar 

  9. Sogaard P, Egeblad H, Pedersen AK, Kim WY, Kristensen BO, Hansen PS, Mortensen PT. Sequential versus simultaneous biventricular resynchronization for severe heart failure: Evaluation by tissue Doppler imaging. Circulation 2002;106(16):2078–2084.

    Google Scholar 

  10. Ritter P, Padeletti L, Gillio-Meina L, Gaggini G. Determination of the optimal atrioventricular delay inDDDpacing: Comparison between echo and peak endocardial acceleration measurements. Europace 1999;1:126–130.

    Google Scholar 

  11. Kindermann M, Frohlig G, Doerr T, Schieffer H. Optimizing the AV delay in DDD pacemaker patients with high degree AV block: Mitral valve Doppler versus impedance cardiography. Pacing Clin Electrophysiol 1997;20(10 Pt 1): 2453–2462.

    Google Scholar 

  12. Gras D, Leclercq C, Tang AS, Bucknall C, Luttikhuis HO, Kirstein-Pedersen A. Cardiac resynchronization therapy in advanced heart failure the multicenter InSync clinical study. Eur J Heart Fail 2002;4(3):311–320.

    Google Scholar 

  13. Alonso C, Leclercq C, d'Allonnes FR, Pavin D, Victor F, Mabo P, Daubert JC. Six year experience of transvenous left ventricular lead implantation for permanent biventricular pacing in patients with advanced heart failure: Technical aspects. Heart 2001;86(4):405–410.

    Google Scholar 

  14. Delurgio DB, Chninchoy E, Ransom, SA, Mera F, Smith AL, Leon AR, Hill M. Craword Long Hospital, Atlanta, GA and Medtronic Heart Failure Research. Stability of the Optimal Right Ventricular to Left Ventricular Timing Sequence during Biventricular Pacing for Congestive Heart Failure as Determined by Doppler-Derived Stroke Volume (Abstract). Pacing Clin Electrophysiol 2002;25(4)II:523–750.

    Google Scholar 

  15. Barold SS, Byrd CL. Cross-ventricular endless loop tachycardia during biventricular pacing. PACE 2001;24:1821–1823.

    Google Scholar 

  16. Van Gelder BM, Brack FA, Meijer A. Pacemaker mediated tachycardia in a biventricular pacing system. PACE 2001;24:1819–1820.

    Google Scholar 

  17. Lipchenca I, Garrigue S, Glikson M, Barold SS, Clementy J. Inhibition of biventricular pacemakers by oversensing of far field atrial depolarization. Pacing Clin Electrophysiol 2002;25(3):365–367.

    Google Scholar 

  18. Taieb J, Benchaa T, Foltzer E, Coste A, Tarlet JM, Jouve B, Rahal Y, Pochon P, Moudni F, Barnay C. Atrioventricular cross-talk in biventricular pacing: A potential cause of ventricular standstill. Pacing Clin Electrophysiol 2002;25(6):929–935.

    Google Scholar 

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Correspondence to Panos E. Vardas.

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Vardas, P.E. Pacing Follow Up Techniques and Trouble Shooting During Biventricular Pacing. J Interv Card Electrophysiol 9, 183–187 (2003). https://doi.org/10.1023/A:1026280323364

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  • DOI: https://doi.org/10.1023/A:1026280323364

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