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Europace 1999 1(3):197-200; doi:10.1053/eupc.1999.0039
© 1999 by European Society of Cardiology
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REGULAR ARTICLE: NEW TECHNIQUES

The use of a ‘side-wire’ permanent transvenous pacing electrode for left ventricular pacing

S. Walker, T. Levy, S. Rex and V.E. Paul

Department of Cardiology, Harefield Hospital Uxbridge, U.K.

It has been reported that biventricular pacing can improve the symptomatic status of patients with heart failure. However, using currently available transvenous left ventricular pacemaker leads the implantation procedure is difficult and has a high failure rate. We report the successful use of a new type of left ventricular pacing lead, the ‘side-wire’ pacing lead. This lead is initially introduced through a specifically designed guiding sheath to aid coronary sinus cannulation and then over a pre-positioned guide wire to aid final positioning. The more widespread introduction of this type of left ventricular pacing lead may reduce the difficulty of left ventricular pacing via the coronary sinus and thus improve the overall success rate of this therapeutic approach.

Key Words: Bi-ventricular pacemaker, side-wire pacing lead

Correspondence: Dr S. Walker, Department of Cardiology, Harefield Hospital, Harefield, Uxbridge, Middlesex UB9 6JH, U.K.


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