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Related Experiment Video

Updated: Jun 30, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
12:45

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Published on: December 11, 2017

[Alternative method for cardiac resynchronization: transapical lead implantation].

Imre Kassai1, Csaba Földesi, Andrea Székely

  • 1Gottsegen György Országos Kardiológiai Intézet Budapest.

Magyar Sebeszet
|September 19, 2008
PubMed
Summary

Transvenous left ventricular lead placement for cardiac resynchronization therapy often fails. A new transapical implantation technique offers a minimally invasive alternative for improved pacing outcomes.

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Area of Science:

  • Cardiology
  • Medical Devices
  • Surgical Techniques

Context:

  • Coronary sinus lead placement for cardiac resynchronization therapy (CRT) has high failure and dislocation rates.
  • Alternative pacing methods are needed for CRT patients with challenging anatomy or previous lead failures.

Purpose:

  • To describe a novel transapical implantation technique for endocardial left ventricular pacing lead placement.
  • To evaluate the feasibility and advantages of this minimally invasive approach.

Summary:

  • A new technique involves direct puncture of the left ventricular apex using the Seldinger technique.
  • An active fixation endocardial pacing lead is implanted via intracavitary navigation under fluoroscopy.
  • This method avoids mitral valve involvement and offers endocardial pacing.

Impact:

  • This transapical approach may reduce lead implantation failures and dislocations in CRT patients.
  • It provides a minimally invasive option for achieving effective left ventricular pacing.
  • This technique could improve CRT efficacy and patient outcomes.