The right ventricular outflow tract: The road to septal pacing

被引:100
作者
Mond, Harry G. [1 ]
Hillock, Richard J. [1 ]
Stevenson, Irene H. [1 ]
Mcgavigan, Andrew D. [1 ]
机构
[1] Royal Melbourne Hosp, Private Med Ctr, Dept Cardiol, Melbourne, Vic 3050, Australia
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2007年 / 30卷 / 04期
关键词
selective-site pacing; ventricular septal pacing;
D O I
10.1111/j.1540-8159.2007.00697.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Pacing from the right ventricular apex is associated with long-term adverse effects on left ventricular function. This has fuelled interest in alternative pacing sites, especially the septal aspect of the right ventricular outflow tract (RVOT). However, it is a common perception that septal RVOT pacing is difficult to achieve. Methods and Results: In this article, we will review the anatomy of the RVOT and discuss the importance of standard radiographic views and the 12-lead electrocardiogram in aiding lead placement. We will also describe a method utilizing a novel stylet shape, whereby a conventional active-fixation, stylet-driven lead can be easily and reliably deployed onto the RVOT septum.
引用
收藏
页码:482 / 491
页数:10
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