Academic Journal
Moderated posters: Cardiac resynchronisation therapy
| العنوان: | Moderated posters: Cardiac resynchronisation therapy |
|---|---|
| المؤلفون: | Arbelo Lainez, E., Garcia Quintana, A., Caballero Dorta, E., Diaz Escofet, M., Moreno Djadou, B., Rios Diaz, C., Novoa Medina, J., Medina Fernandez-Aceytuno, A., Fatemi, M., Le Gal, G., Castellant, P., Fersi, I., Etienne, Y., Blanc, J.J., Zanon, F., Aggio, S., Baracca, E., Pastore, F., Vaccari, D., Verlato, R., Davinelli, M., Comisso, J., Barsheshet, A., Abu Sham'a, R., Sandach, A., Luria, D., Bar Lev, D., Gurevitz, O., Eldar, M., Glikson, M., Ramos, R., Oliveira, M., Nogueira Da Silva, M., Toste, A., Lousinha, A., Branco, L., Alves, S., Ferreira, R.C., Baptista, R., Saraiva, F., Jorge, E., Hermida, P., Monteiro, P., Elvas, L., Providencia, L.A., Delnoy, P.P.H.M., Ottervanger, J.P., Oude Luttikhuis, H., Elvan, A., Ramdat Misier, A.R., Beukema, W.P., Van Hemel, N.M., Lunati, M., Maines, M., Landolina, M., Santini, M., Proclemer, A., Sassara, M., Marchesini, S., Varbaro, A., Italian Medtronic Clinical Service Investigators, Catanzariti, D., Cemin, C., Vimercati, M., Valsecchi, S., Vergara, G., Bertini, M., Ajmone Marsan, N., Delgado, V., Van Bommel, R.J., Nucifora, G., Borleffs, C.J.W., Schalij, M.J., Bax, J.J. |
| بيانات النشر: | Oxford University Press |
| سنة النشر: | 2009 |
| المجموعة: | HighWire Press (Stanford University) |
| مصطلحات موضوعية: | Tuesday 23 June |
| الوصف: | Introduction: Phrenic nerve stimulation (PNS) is a side-effect of cardiac resynchronization therapy (CRT) that occurs in up to 15% of patients (p) at implant and around 2% chronically, which might require repositioning the LV lead. AIM: To identify the prevalence and predictive factors of PNS. Methods: We analyzed 216 p during the implantation of a CRT device and follow-up. Results: Intraoperative PNS pacing with 10V was observed in 38 p (17,6%), from a lateral vein in 30 p (79%) and from a posterolateral in 8 (21%). No PNS was observed in an anterolateral vein. In 9 p (24%), the lead had to be implanted in an alternative vessel. For the rest of p, pulling the lead back to a more basal position (15 p), the use of inverted polarity for stimulation (10) and/or the reduction of the stimulation output in p with a PNS threshold >5V (9p), prevented the complication. After a 35±17-month follow-up, PNS was observed in 24p (11%), 10 of which (42%) had presented PNS during the implant procedure. In 2p, there was macroscopic migration of the LV lead whereas in the 24 remaining p, the lead position appeared stable. PNS could be corrected by reducing the output energy in 17p (71%) and by changing the configuration of the stimulation vector in 7 (29%). No LV lead had to be repositioned. The presence of PNS during the implant was the only independent predictor of PNS at follow-up (p<0.001) but all could be corrected by electrical repositioning and/or lower pacing outputs. No other anatomical or clinical predictive factors could be identified. |
| نوع الوثيقة: | text |
| وصف الملف: | text/html |
| اللغة: | English |
| Relation: | http://europace.oxfordjournals.org/cgi/content/short/11/suppl_2/NP-au; http://dx.doi.org/10.1093/europace/euq242 |
| DOI: | 10.1093/europace/euq242 |
| الاتاحة: | http://europace.oxfordjournals.org/cgi/content/short/11/suppl_2/NP-au https://doi.org/10.1093/europace/euq242 |
| Rights: | Copyright (C) 2009, European Heart Rhythm Association of the European Society of Cardiology (ESC) |
| رقم الانضمام: | edsbas.9858CDEA |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/europace/euq242 |
|---|