Total thoracoscopic left ventricular lead implantation for hybrid cardiac resynchronization therapy in pacemaker-mediated cardiomyopathy

Yu Inaba, Tsutomu Ito, Sachiko Hayashi, Tatsuo Takahashi, Yoshimasa Inoue, Teruhiro Aoki, Hideyuki Takimura, Tsuyoshi Sakai, Takahiko Misumi, Hideyuki Shimizu

Research output: Contribution to journalArticle

Abstract

Cardiac resynchronization therapy (CRT) has been increasingly performed in patients having heart failure with dyssynchrony. We report a successful case of total thoracoscopic left ventricular (LV) lead implantation in CRT. A 77-year-old man with marked dyssynchrony of the LV wall motion and a low ejection fraction (EF17%) due to pacemaker-mediated cardiomyopathy was referred to us. CRT was planned, but percutaneous LV lead implantation proved difficult owing to anatomical variations. The LV lead was placed in the post-lateral wall of the LV base using a total thoracoscopic procedure. Preoperative dyspnea and dyssynchrony were clearly improved. In CRT, the LV wall stimulation site is important. The LV lead should be implanted in the latest activation area, which can be detected using speckle tracking echocardiography. Surgical lead implantation can be performed in the ideal area, and this procedure may play a new role as a hybrid CRT.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalGeneral Thoracic and Cardiovascular Surgery
DOIs
Publication statusAccepted/In press - 2017 Feb 28

Fingerprint

Cardiac Resynchronization Therapy
Cardiomyopathies
Dyspnea
Echocardiography
Heart Failure
Lead

Keywords

  • Cardiac resynchronization therapy
  • Epicardial lead implantation
  • Speckle tracking echocardiography
  • Thoracoscopic surgery

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Total thoracoscopic left ventricular lead implantation for hybrid cardiac resynchronization therapy in pacemaker-mediated cardiomyopathy. / Inaba, Yu; Ito, Tsutomu; Hayashi, Sachiko; Takahashi, Tatsuo; Inoue, Yoshimasa; Aoki, Teruhiro; Takimura, Hideyuki; Sakai, Tsuyoshi; Misumi, Takahiko; Shimizu, Hideyuki.

In: General Thoracic and Cardiovascular Surgery, 28.02.2017, p. 1-4.

Research output: Contribution to journalArticle

@article{fb7d4c31b680418481b58ac54bb88fac,
title = "Total thoracoscopic left ventricular lead implantation for hybrid cardiac resynchronization therapy in pacemaker-mediated cardiomyopathy",
abstract = "Cardiac resynchronization therapy (CRT) has been increasingly performed in patients having heart failure with dyssynchrony. We report a successful case of total thoracoscopic left ventricular (LV) lead implantation in CRT. A 77-year-old man with marked dyssynchrony of the LV wall motion and a low ejection fraction (EF17{\%}) due to pacemaker-mediated cardiomyopathy was referred to us. CRT was planned, but percutaneous LV lead implantation proved difficult owing to anatomical variations. The LV lead was placed in the post-lateral wall of the LV base using a total thoracoscopic procedure. Preoperative dyspnea and dyssynchrony were clearly improved. In CRT, the LV wall stimulation site is important. The LV lead should be implanted in the latest activation area, which can be detected using speckle tracking echocardiography. Surgical lead implantation can be performed in the ideal area, and this procedure may play a new role as a hybrid CRT.",
keywords = "Cardiac resynchronization therapy, Epicardial lead implantation, Speckle tracking echocardiography, Thoracoscopic surgery",
author = "Yu Inaba and Tsutomu Ito and Sachiko Hayashi and Tatsuo Takahashi and Yoshimasa Inoue and Teruhiro Aoki and Hideyuki Takimura and Tsuyoshi Sakai and Takahiko Misumi and Hideyuki Shimizu",
year = "2017",
month = "2",
day = "28",
doi = "10.1007/s11748-016-0744-y",
language = "English",
pages = "1--4",
journal = "General Thoracic and Cardiovascular Surgery",
issn = "1863-6705",
publisher = "Springer Japan",

}

TY - JOUR

T1 - Total thoracoscopic left ventricular lead implantation for hybrid cardiac resynchronization therapy in pacemaker-mediated cardiomyopathy

AU - Inaba, Yu

AU - Ito, Tsutomu

AU - Hayashi, Sachiko

AU - Takahashi, Tatsuo

AU - Inoue, Yoshimasa

AU - Aoki, Teruhiro

AU - Takimura, Hideyuki

AU - Sakai, Tsuyoshi

AU - Misumi, Takahiko

AU - Shimizu, Hideyuki

PY - 2017/2/28

Y1 - 2017/2/28

N2 - Cardiac resynchronization therapy (CRT) has been increasingly performed in patients having heart failure with dyssynchrony. We report a successful case of total thoracoscopic left ventricular (LV) lead implantation in CRT. A 77-year-old man with marked dyssynchrony of the LV wall motion and a low ejection fraction (EF17%) due to pacemaker-mediated cardiomyopathy was referred to us. CRT was planned, but percutaneous LV lead implantation proved difficult owing to anatomical variations. The LV lead was placed in the post-lateral wall of the LV base using a total thoracoscopic procedure. Preoperative dyspnea and dyssynchrony were clearly improved. In CRT, the LV wall stimulation site is important. The LV lead should be implanted in the latest activation area, which can be detected using speckle tracking echocardiography. Surgical lead implantation can be performed in the ideal area, and this procedure may play a new role as a hybrid CRT.

AB - Cardiac resynchronization therapy (CRT) has been increasingly performed in patients having heart failure with dyssynchrony. We report a successful case of total thoracoscopic left ventricular (LV) lead implantation in CRT. A 77-year-old man with marked dyssynchrony of the LV wall motion and a low ejection fraction (EF17%) due to pacemaker-mediated cardiomyopathy was referred to us. CRT was planned, but percutaneous LV lead implantation proved difficult owing to anatomical variations. The LV lead was placed in the post-lateral wall of the LV base using a total thoracoscopic procedure. Preoperative dyspnea and dyssynchrony were clearly improved. In CRT, the LV wall stimulation site is important. The LV lead should be implanted in the latest activation area, which can be detected using speckle tracking echocardiography. Surgical lead implantation can be performed in the ideal area, and this procedure may play a new role as a hybrid CRT.

KW - Cardiac resynchronization therapy

KW - Epicardial lead implantation

KW - Speckle tracking echocardiography

KW - Thoracoscopic surgery

UR - http://www.scopus.com/inward/record.url?scp=85014055293&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85014055293&partnerID=8YFLogxK

U2 - 10.1007/s11748-016-0744-y

DO - 10.1007/s11748-016-0744-y

M3 - Article

C2 - 28243894

AN - SCOPUS:85014055293

SP - 1

EP - 4

JO - General Thoracic and Cardiovascular Surgery

JF - General Thoracic and Cardiovascular Surgery

SN - 1863-6705

ER -