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Updated: Jul 14, 2026

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Impacted left ventricular lead technique in cardiac resynchronization therapy.

Ngai Yin Chan¹, Ying Keung Lo

¹Department of Medicine and Geriatrics, Princess Margaret Hospital, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon 852, Hong Kong. ngaiyinchan@yahoo.com.hk

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology

|May 25, 2007

Summary

Left ventricular lead dislodgement complicates cardiac resynchronization therapy. A novel technique using an inactive lead in the same vein successfully stabilized a dislodging lead, avoiding repeat surgery.

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Published on: January 31, 2019

Area of Science:

Cardiology
Medical Devices
Surgical Techniques

Background:

Left ventricular (LV) lead dislodgement is a frequent complication in cardiac resynchronization therapy (CRT).
Lead dislodgement necessitates re-operation, increasing patient risk and healthcare costs.

Observation:

A case report details a patient experiencing recurrent LV lead dislodgement during CRT.
The dislodging lead was positioned within a cardiac vein.

Findings:

A novel technique was employed to stabilize the dislodging LV lead.
An inactive LV lead was impacted into the same cardiac vein to secure the dislodging lead.

Implications:

This technique offers a potential solution to prevent LV lead dislodgement in CRT.
It may reduce the need for re-operations, improving patient outcomes and reducing healthcare burdens.