PMID- 28262910
OWN - NLM
STAT- MEDLINE
DCOM- 20170314
LR  - 20181113
IS  - 1680-0745 (Electronic)
IS  - 1995-1892 (Print)
IS  - 1015-9657 (Linking)
VI  - 28
IP  - 1
DP  - 2017 Jan/Feb
TI  - Surgical placement of left ventricular lead for cardiac resynchronisation therapy 
      after failure of percutaneous attempt.
PG  - 19-22
LID - 10.5830/CVJA-2016-046 [doi]
AB  - OBJECTIVE: Cardiac resynchronisation therapy has been shown to be an effective 
      treatment to improve functional status and prolong survival of patients in 
      advanced chronic heart failure. This study assessed the surgical outcomes of left 
      anterior mini-thoracotomy for the implantation of left ventricular epicardial 
      pacing leads in cardiac resynchronisation therapy. METHODS: Our study consisted 
      of 30 consecutive patients who underwent cardiac resynchronisation therapy with a 
      left thoracotomy between November 2010 and April 2012 in our clinic. 
      Postoperative follow up included the assessment of New York Heart Association 
      (NYHA) functional class, electrocardiography and echocardiography. RESULTS: There 
      were 22 male and eight female patients with a mean age of 68 +/- 5.04 years. All 
      patients were in NYHA class III or IV. Pre-procedure mean left ventricular 
      ejection fraction was 28.1 +/- 4.5% and post-procedural ejection fraction improved 
      to 31.7 +/- 5.1%. The pre-operative QRS duration changed from 171.7 +/- 10.8 to 156.2 
      +/- 4.4 ms after the operation. Also there was a significant reduction in left 
      ventricular end-diastolic dimension from 6.98 +/- 0.8 to 6.72 +/- 0.8 mm (p < 0 .05), 
      but no change in left ventricular end-systolic dimension and severity of mitral 
      regurgitation. All patients had successful surgical left ventricular lead 
      placement. There was no procedure-related mortality. The mean follow-up time was 
      40.4 months. CONCLUSION: Surgical epicardial left ventricular lead placement 
      procedure is a safe and effective technique in patients with a failed 
      percutaneous attempt.
FAU - Ezelsoy, Mehmet
AU  - Ezelsoy M
AD  - Department of Cardiovascular Surgery, Bilim University, Istanbul, Turkey. Email: 
      mehmet_ezelsoy@hotmail.com.
FAU - Bayram, Muhammed
AU  - Bayram M
AD  - Department of Cardiovascular Surgery, Mehmet Akif Ersoy Hospital, Istanbul, 
      Turkey.
FAU - Yazici, Suleyman
AU  - Yazici S
AD  - Department of Cardiovascular Surgery, Bilim University, Istanbul, Turkey.
FAU - Yazicioglu, Nuran
AU  - Yazicioglu N
AD  - Cardiology, Florence Nightingale Hospital, Istanbul, Turkey.
FAU - Sagbas, Ertan
AU  - Sagbas E
AD  - Department of Cardiovascular Surgery, Bilim University, Istanbul, Turkey.
LA  - eng
PT  - Journal Article
PL  - South Africa
TA  - Cardiovasc J Afr
JT  - Cardiovascular journal of Africa
JID - 101313864
SB  - IM
MH  - Aged
MH  - Cardiac Resynchronization Therapy/*methods
MH  - Echocardiography
MH  - *Electrocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Failure/diagnosis/physiopathology/*therapy
MH  - Heart Ventricles/diagnostic imaging/*physiopathology
MH  - Humans
MH  - Male
MH  - *Pacemaker, Artificial
MH  - Pericardium
MH  - Retrospective Studies
MH  - Ventricular Function, Left/*physiology
PMC - PMC5423426
EDAT- 2017/03/07 06:00
MHDA- 2017/03/16 06:00
PMCR- 2017/01/01
CRDT- 2017/03/07 06:00
PHST- 2015/12/06 00:00 [received]
PHST- 2016/04/03 00:00 [accepted]
PHST- 2017/03/07 06:00 [entrez]
PHST- 2017/03/07 06:00 [pubmed]
PHST- 2017/03/16 06:00 [medline]
PHST- 2017/01/01 00:00 [pmc-release]
AID - 10.5830/CVJA-2016-046 [doi]
PST - ppublish
SO  - Cardiovasc J Afr. 2017 Jan/Feb;28(1):19-22. doi: 10.5830/CVJA-2016-046.