Pacing and clinical electrophysiology : PACE
-
Pacing Clin Electrophysiol · Feb 2012
Randomized Controlled Trial Comparative StudyComparison of the efficacy of two surgical alternatives for cardiac resynchronization therapy: trans-apical versus epicardial left ventricular pacing.
Epicardial pacing lead implantation is the currently preferred surgical alternative for left ventricular (LV) lead placement. For endocardial LV pacing, we developed a fundamentally new surgical method. The trans-apical lead implantation is a minimally invasive technique that provides access to any LV segments. The aim of this prospective randomized study was to compare the outcome of patients undergoing either trans-apical endocardial or epicardial LV pacing. ⋯ Our data suggest that trans-apical endocardial LV lead implantation is an alternative to epicardial LV pacing.