Alternate method for endocardial pacemaker lead implantation: A hybrid mini-thoracotomy approach |
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Authors: | Viveka Kumar Pradipta Kumar Nayak Mitendra Singh Yadav Sangeeta Dhir Vanita Arora Vivek Kumar |
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Affiliation: | 1. Department of Cardiology, Max Superspeciality Hospital, New Delhi, India;2. Consultant Cardiology, Max Superspeciality Hospital, India;3. Director & Head Electrophysiology, Max Superspeciality Hospital, New Delhi, India |
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Abstract: | Although the conventional methods for endo-cardial pacemaker lead implantation via subclavian or cephalic or axillary vein routes is common, but sometimes due to anatomical variations it is not feasible to access these veins Emergence of newer techniques are useful for lead implantation. This case report focuses on a hybrid approach of combined mini-thoracotomy for endocardial pacemaker lead implantation. This fluoroscopy guided minimal thoracotomy approach with endocardial MRI compatible lead placement had the benefits of simple procedural, minimal hospital stay, low early complication rates and economically viable to the patient. |
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Keywords: | Hybrid technique Mini-thoracotomy Transvenous route Endocardial lead Epicardial lead Leadless pacemaker/MICRA CRT Inside out method |
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