Thorac Cardiovasc Surg 2002; 50(2): 120-121
DOI: 10.1055/s-2002-26687
Short Communication
© Georg Thieme Verlag Stuttgart · New York

Coronary Vein Leads for Cardiac Pacing in Patients with Tricuspid Valve Replacement[*]

B.  Hansky, H.  Güldner, J.  Vogt, K.  Minami, G.  Tenderich, D.  Horstkotte, R.  Körfer
  • 1Heart Center North Rhine-Westphalia, University of Bochum, Bad Oeynhausen, Germany
Presented at the 3th Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery, February 17 - 21, 2001 Leipzig
Further Information

Publication History

February 26, 2001

Publication Date:
30 April 2002 (online)

Abstract

Background: Because after tricuspid valve replacement (TVR) the transvenous implantation of endocardial leads is contraindicated, myocardial screw-in leads were used to ventricular pacing. Recently available coronary vein (CV) leads are stimulating the left ventricle epicardially and can be implanted transvenously, too. Method and results: We implanted these leads in patients (pts) with TVR (n = 7) or after valve repair (n = 1) without complications. In 7 pts we used bended CV leads with a microporous tip and only in one pt a CV lead with a stimulation via metal ring. The stimulation thresholds (ST) were stable in all pts. Conclusions: The use of CV leads offers a minimal invasive approach for permanent cardiac stimulation after TVR. Low chronic ST are resulting in an energy saving pacemaker mode. CV leads can be used after previous heart surgery as well as for difficult anatomical situations.

1 Presented at the 30th Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery, February 17 - 21, 2001 Leipzig

References

  • 1 Sperzel J, Schulte B, Schwarz T, Ehrlich W, Neuzner J. Chronische biventrikuläre Stimulation bei fortgeschrittener Herzinsuffizienz: Erfahrungen mit unterschiedlichen Elektrodensystemen.  Herzschrittmacherther & Elektrophysiol. 2000;  11 (1) 31-32
  • 2 Butter C, Stockburger M, Schlegel M, Fleck E. Anatomische und technische Möglichkeiten sowie Grenzen der transvenösen Sondenpositionierung zur linksventrikulären Stimulation.  Herzschrittmacherther & Elektrophysiol. 2000;  11 33-34
  • 3 Vogt J, Lamp B, Meissner A, Hansky B, Schmidt F, Tenderich G, Koerfer R, Horstkotte D. Pre-implant coronary sinus venogram and hemodynamic testing in patients selected for biventricular pacing in congestive heart failure.  PACE. 2000;  23 657

1 Presented at the 30th Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery, February 17 - 21, 2001 Leipzig

Dr. B. Hansky

Herzzentrum NRW

Georgstr. 11

32545 Bad Oeynhausen

Germany

Phone: +495731 /971331

Fax: +495731 /971820

Email: hansky@hdz-nrw.de

    >