With the publications of the Miracle (1), Miracle ICD (2), COMPANION (3) and CARE-HF (4) trials, biventricular pacing is now an undisputed adjunctive therapy for heart failure, demonstrating an additive symptom and survival benefit over pharmacological therapies alone. Its wider application has been hampered, in part, by the technical challenges of left ventricular lead implantation encountered by the operating physician. (Table 5.1)
Inroads to successful LV lead implantation have been achieved through collective sharing of implant experiences (5). New sheath delivery systems, catheters, and guide wires continue to improve LV lead implantation success. It is hoped that this chapter will serve as a useful springboard to improving outcomes with LV lead implantation.
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References
1. Abraham WT, Fisher WG, Smith AL, et al., Cardiac Resynchronization in Chronic Heart Failure, New Engl J Med 2002; 346:1845–1853.
2. Young JB, Abraham WT, Smith AL, et al., Combined Cardiac Resynchronization and Implantable Cardioversion Defibrillation in Advanced Chronic Heart Failure, JAMA 2003; 289:2685–2694.
3. Bristow MR, Saxon LA, Boehmer J, et al. Cardiac-Resynchronization Therapy with or without an Implantable Defibrillator in Advanced Chronic Heart Failure, New Engl J Med 2004; 350:2140–2150.
4. Cleland JGF, Daubert J-C, Erdmann E, et al. The Effect of Cardiac Resynchronization on Morbidity and Mortality in Heart Failure, New Engl J Med 2005; 352:1539–1549.
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Fisher, W.G. (2008). Transvenous Left Ventricular Lead Implantation. In: Kusumoto, F.M., Goldschlager, N.F. (eds) Cardiac Pacing for the Clinician. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-72763-9_5
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DOI: https://doi.org/10.1007/978-0-387-72763-9_5
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