Thoracoscopic epicardial lead implantation
Authors:
Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation
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Type: Reviews
DOI:
For citation: Shatalov K.V., Serguladze S.Yu., Abdurazakov M.A., Kvasha B.I., Sopov O.V. Thoracoscopic epicardial lead implantation. Creative Cardiology. 2024; 18 (1): 28–35 (in Russ.). DOI: 10.24022/1997-3187-2024-18-1-28-35
Received / Accepted: 09.01.2024 / 05.02.2024
Keywords: cardiac rhythm disorders atrio-ventricular block cardiac resynchronization therapy thorocoscopy
Abstract
Resynchronization therapy is the main treatment option in patients with atrio-ventricular block, sick sinus syndrome and other cardiac rhythm dysfunction. Cardiac resynchronization is also one of the method of treatment of chronic heart failure where key principles is restoring physiologic consequence of ventricular activation and improvement in atrio-ventricular conduction which results in increasing of ejection fraction.Currently endovascular lead implantation is the treatment of chose. However, failure occurred more than in 10% of patients. In this case epicardial lead implantation is advisable also with thorocoscopic and minimally invasive technique with video-assistance. The review reveals world experience of minimally invasive epicardial lead implantation methods during cardiac rhythm disorders and cardiac resynchronization therapy in patients with chronic heart failure.
References
- Kim H.R., Lim K., Park S.-J., Park J.-S., Kim J.Y., Chung S. et al. Thoracoscopic implantation of epicardial left ventricular lead for cardiac resynchronization therapy. J. Cardiovasc. Dev. Dis. 2022; 9 (5): 160. DOI: 10.3390/jcdd9050160
- Ahsan S.Y., Saberwal B., Lambiase P.D., Chaubey S., Segal O.R., Gopalamurugan A.B. et al. An 8-year single-centre experience of cardiac resynchronisation therapy: Procedural success, early and late complications, and left ventricular lead performance. Europace. 2013; 15: 711–717.
- Marini M., Pannone L., Branzoli S., Quintarelli S., Coser A., Guarracini F. et al. Video-assisted thoracoscopic epicardial pacing: a contemporary overview. Pacing Clin. Electrophysiol. 2023; 46: 1215–1221. DOI: 10.1111/pace.14815
- Gras D., Böcker D., Lunati M., Wellens H.J.J., Calvert M., Freemantle N. et al. Implantation of cardiac resynchronization therapy systems in the CARE-HF trial: procedural success rate and safety. Europace. 2007; 9: 516–522. DOI: 10.1093/europace/eum080
- Giraldi F., Cattadori G., Roberto M., Carbucicchio C., Pepi M., Ballerini G. et al. Long-term effectiveness of cardiac resynchronization therapy in heart failure patients with unfavorable cardiac veins anatomy comparison of surgical versus hemodynamic procedure. J. Am. Coll. Cardiol. 2011; 58: 483–490. DOI: 10.1016/j.jacc.2011.02.065
- Stauber A., Tannera H., Notia F., Rotena L., Seilera J., Lam A. et al. Outcome of video-assisted thoracoscopic implantation of epicardial left ventricular leads with visual targeting for cardiac resynchronization therapy. Interact. Cardiovasc. Thorac. Surgery. 2020; 30 (3): 373–379. DOI: 10.1093/icvts/ivz276
- Fernandez A.L., Garcia-Bengochea J.B., Ledo R., Vega R., Amaro A., Alvarez J. et al. Minimally invasive surgical implan-tation of left ventricular epicardial leads for ventricular resynchronization using video-assisted thoracoscopy. Rev. Esp. Cardiol. 2004; 57: 313–319.
- Kleine P., Grönefeld G., Dogan S., Hohnloser S.H., Moritz A., Wimmer-Greinecker G. Robotically enhanced placement of left ventricular epicardial electrodes during implantation of a biventricular implantable cardioverter defibrillator system. Pacing. Clin. Electrophysiol. 2002; 25: 989–991. DOI: 10.1046/j. 1460-9592.2002.00989.x
- Morgan J.A., Ginsburg M.E., Sonett J.R., Morales D.L.S., Kohmoto T., Gorenstein L.A. et al. Advanced thoracoscopic procedures are facilitated by computer-aided robotic technology. Eur. J. Cardiothorac. Surg. 2003; 23: 883–887. DOI: 10.1016/s1010-7940(03)00160-x
- Bockeria L.A., Makhaldiani Z.B., Biniashvili M.B. Thoracoscopic techniques for left ventricular epicardial pacing in cardiac resynchronization therapy. Annaly Aritmologii (Annals of Arrhythmology). 2006; 1: 64–67 (in Russ.).
- Bockeria L.A., Makhaldiani Z.B., Kalysov K.A. Left ventricular toracoscopic mapping and implantation of left ventricular electrode for resynchronization therapy (experimental study). Annaly Aritmologii (Annals of Arrhythmology). 2012; 9 (3): 48–55 (in Russ.).
- Nesher N., Ganiel A., Paz Y., Kramer A., Mohr R., Ben-Gal Y., Pevni D. Thoracoscopic epicardial lead implantation as an alternative to failed endovascular insertion for cardiac pacing and resynchronization therapy. Innovations. 2014; 9: 427–431. DOI: 10.1177/155698451400900606
- Termosesov S., Kulbachinskaya E., Polyakova E., Khaspekov D., Grishin I., Bereznitskaya V., Shkolnikova M. Videoassisted thoracoscopic pacemaker lead placement in children with atrioventricular block. Ann. Pediatr. Card. 2021; 14: 67–71. DOI: 10.4103/apc.apc_93_20
- Mair H., Jansens J.L., Lattouf M.O., Reichart B., Daebritz S. Epicardial lead implantation tchniques for biventricolar pacing via left lateral mini-thoracotomy, video-assisted thoracoscopy, and robotic approach. Heart. Surg. Forum. 2003; 6: 412–417.
- Fernández A.L., Garcia-Bengochea J.B., Ledo R., Vega M., Amaro A., Alvarez J. et al. Surgical implantation of left ventricular epicardial leads for ventricular resynchronization using video-assisted thoracoscopy. Rev. Esp. Cardiol. 2004; 57 (4): 313–319.
- Gabor S., Prenner G., Wasler A., Schweiger M., Tscheliessnigg K.H., Smolle-Jüttner F.M. A simplified technique for implantation of left ventricular epicardial leads for biventricular resynchronisation using video-assisted thoracoscopy (VATS). Eur. J. Cardiothorac. Surg. 2005; 28 (6): 797–800. DOI: 10.1016/j.ejcts.2005.08.026
- Jutley R.S., Waller D.A., Loke I., Skehan D., Ng A., Stafford P. et al. Video-assisted thoracoscopic implantation of the left ventricular pacing lead for cardiac resynchronization therapy. Pacing. Clin. Electrophysiol. 2008; 31 (7): 812–818. DOI: 10.1111/j.1540-8159.2008.01095.x
- Papiashvilli M., Haitov Z., Fuchs T., Bar I. Left Ventricular epicardial lead implantation for resynchronisation therapy using a video-assisted thoracoscopic approach. Heart Lung Circ. 2011; 20: 220–222. DOI: 10.1016/j.hlc.2010.11.003
- Marini M., Branzoli S., Moggio P., Martin M., Belotti G., Molon G. et. al. Epicardial left ventricular lead implantation in cardiac resynchronization therapy patients via a video-assisted thoracoscopic technique: long-term outcome. Clin. Cardiol. 2020; 43: 284–290. DOI: 10.1002/clc.23300
- Vassiliades T.A., McConnell M.E., Book W.M. Thoracoscopic approach to epicardial lead implantation in adult patients with previous congenital cardiac surgery. Innovations (Phila). 2006; 1 (5): 263–267. DOI: 10.1097/01.IMI.0000239563.74551.e6
- Mihalcz A., Kassai I., Geller L., Szili-Török T. Alternative techniques for left ventricular pacing in cardiac resynchronization therapy. Pacing. Clin. Electrophysiol. 2014; 37 (2): 255–261. DOI: 10.1111/pace.12320
- Doll N., Plorkowki C., Czesla M., Kallenbach M., Rastan A.J., Arya A., Mohr F.W. Epicardial versus transvenous left ventricular lead placement in patients receiving cardiac resynchronization therapy: results from a randomized prospective study. Thorac. Cardiovasc. Surg. 2008; 56: 256–261. DOI: 10.1055/s-2008-1038633
- Mihalcz A., Kassai I., Kardos A., Foldesi C., Theuns D., SziliTorok T. Comparison of the efficacy of two surgical alternatives for cardiac resynchronization therapy: trans-apical versus epicardial left ventricular pacing. Pacing. Clin. Electrophysiol. 2012; 35: 124–130.
- Burger H., Pecha S., Hakmi S., Opalka B., Schoenburg M., Ziegelhoeffer T. Five-year follow-up of transvenous and epicardial left ventricular leads: experience with more than 1000 leads. Interact. Cardiovasc. Thorac. Surg. 2020; 30: 74–80. DOI: 10.1093/icvts/ivz239
- Birnie D.H., Tang A.S. The problem of non-response to cardiac resynchronization therapy. Curr. Opin. Cardiol. 2006; 21: 20–26. DOI: 10.1097/01.hco.0000198983.93755.99
- Derval N., Steendijk P., Gula L. J., Deplagne A., Laborderie J., Sacher F. et al. Optimizing hemodynamics in heart failure patients by systematic screening of left ventricular pacing sites: the lateral left ventricular wall and the coronary sinus are rarely the best sites. J. Am. Coll. Cardiol. 2010; 55: 566–575.
- Spragg D.D., Dong J., Fetics B.J., Helm R., Marine J.E., Cheng A. et al. Optimal left ventricular endocardial pacing sites for cardiac resynchronization therapy in patients with ischemic cardiomyopathy. J. Am. Coll. Cardiol. 2010; 56: 774–781. DOI: 10.1016/j.jacc.2010.06.014
- Pojar M., Vojacek J., Tauchman M., Parizek P., Havlicek A., Jan Belohlavek J., Haman L. Thoracoscopic left ventricular lead implantation. Acta Cardiol. 2011; 66 (6): 797–801. DOI: 10.1080/ac.66.6.2136966
- Singh J.P., Klein H.U., Huang D.T., Reek S., Kuniss M., Quesada A. et al. Left ventricular lead position and clinical outcome in the multicenter automatic defibrillator implantation trial-cardiac resynchronization therapy (MADIT-CRT) trial. Circulation. 2011; 123: 1159–1566.
- Polasek R., Skalsky I., Wichterle D., Martinca T., Hanuliakova J., Roubicek T. High-density epicardial activation mapping to optimize the site for video-thoracoscopic left ventricular lead implant. J. Cardiovasc. Electrophysiol. 2014; 25 (8): 882–888. DOI: 10.1111/jce.12430
- Schroeder C., Chung J. M., Mackall J.A., Cakulev I.T., Patel A., Patel S.J. et al. Transesophageal echocardiography-guided epicardial left ventricular lead placement by video-assisted thoracoscopic surgery in nonresponders to biventricular pacing and previous chest surgery. Innovations. 2018; 13: 211–217. DOI: 10.1097/IMI.0000000000000508
- Guarracini F., Branzoli S., Marini M., Guarracini S., Di Mauro M., Calafiore A.M., La Meir M. Totally thoracoscopic concomitant left atrial appendage closure and left ventricular epicardial lead implantation. J. Card. Surg. 2021; 1–4. DOI: 10.1111/jocs.15928
- Petersen J., Alassar Y., Yildirim Y., Tönnis T., Reichenspurner H., Pecha S. Minimally invasive epicardial left-ventricular lead implantation and simultaneous left atrial appendage closure. Front. Cardiovasc. Med. 2023; 10: 10: 1129410. DOI: 10.3389/fcvm.2023.1129410
- Silvetti M.S., Di Carlo D., Ammirati A., Placidi S., Di Mambro C., Ravà L. et al. Left ventricular pacing in neonates and infants with isolated congenital complete or advanced atrioventricular block: short- and medium-term outcome. Europace. 2015; 17 (4): 603–610. DOI: 10.1093/europace/euu180
- Ergul Y., Yukcu B., Ozturk E., Kafali1 H.F., Ayyildiz P., Ergun S. et al. Evaluation of different lead types and implantation techniques in pediatric populations with permanent pacemakers: single-center with ten years' experience. Pacing Clin. Electrophysiol. 2021; 44 (1): 110–119. DOI: 10.1111/pace.14126
- Brugada J., Blom N., Sarquella-Brugada G., Blomstrom-Lundqvist C., Deanfield J., Janousek J., Abrams D. et al. Pharmacological and non-pharmacological therapy for arrhythmias in the pediatric population: EHRA and AEPC-Arrhythmia Working Group joint consensus statement. Europace. 2013; 15: 1337–1382.
- Patsiou V., Haidich A.-B., Baroutidou A., Giannopoulos A., Giannakoulas G. Epicardial versus endocardial pacing in paediatric patients with atrioventricular block or sinus node dysfunction: a systematic review and meta‑analysis. Pediatr. Cardiol. 2023; 44: 1641–1648. DOI: 10.1007/s00246-023-03213-x
- Costa R., da Silva K.R., Filho M.M. Carrillo R. Minimally invasive epicardial pacemaker implantation in neonates with congenital heart block. Arq. Bras. Cardiol. 2017; 109 (4): 331–339. DOI: 10.5935/abc.20170126
- Polyakova E.B., Kulbachinskaya E.K., Termosesov S.A., Garipov R.Sh., Volkova Ya.Yu., Shkolnikova M.A. Thoracoscopic implantation of an epicardial pacemaker in a child with complete atrioventricular block. Jounal of Arrhythmology. 2019; 26 (2): 58–61 (in Russ.). DOI: 10.35336/VA-2019-2-58-61
About Authors
- Konstantin V. Shatalov, Dr. Med. Sci., Professor, Deputy Director, Head of Department; ORCID
- Sergey Yu. Serguladze, Dr. Med. Sci., Head of Department; ORCID
- Magomed A. Abdurazakov, Cand. Med. Sci.; ORCID
- Boris I. Kvasha, Cand. Med. Sci., Cardiovascular Surgeon; ORCID
- Oleg V. Sopov, Cand. Med. Sci., Cardiovascular Surgeon; ORCID