ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Implantation of left ventricular epicardial leads for biventricular resynchronization through a single-port video-assisted thoracoscopy
Ulaş Kumbasar1, Hikmet Yorgun2, Zeynep Uçar1, Kudret Aytemir2, Metin Demircin1
1Department of Cardiovascular Surgery, Medicine Faculty of Hacettepe University, Ankara, Turkey
2Department of Cardiology, Medicine Faculty of Hacettepe University, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2019.17240
Cardiac resynchronization therapy is a promising therapeutic option for patients with end-stage heart failure. The preferred method for left ventricular lead implantation is the percutaneous access through the coronary sinus. However, this technique may impose certain technical difficulties due to suboptimal lead positioning. In such cases, a video-assisted thoracoscopic epicardial approach may be a good alternative. To date, video-assisted left ventricular epicardial lead implantation from two or three port incisions have been described. Herein, we present the first successful left ventricular epicardial lead implantation through a simplified single-port video-assisted thoracoscopy technique in Turkey.
Keywords : Cardiac resynchronization therapy, left ventricular lead implantation, video-assisted thoracoscopic surgery
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