Heart Failure |
Implanting a CRT Device
The implant procedure of a CRT device is much the same as that for a pacemaker or implantable defibrillator, although additional time is required to place the left ventricular lead in a suitable cardiac vein via the coronary sinus. It is important to note that coronary venous anatomy varies significantly between patients, and in a small percentage of cases, it may not be possible to place the left ventricular lead transvenously. In such situations, some centers are opting for an epicardial approach if the transvenous approach is unsuccessful.
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| Coronary venogram |
Fluoroscopic view of the three leads used for CRT |
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