The Right Ventricular Outflow Tract: The Road to Septal Pacing
Background: Pacing from the right ventricular apex is associated with long‐term adverse effects on left ventricular function. This has fuelled interest in alternative pacing sites, especially the septal aspect of the right ventricular outflow tract (RVOT). However, it is a common perception that sep...
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| Veröffentlicht in: | Pacing and clinical electrophysiology 2007-04, Vol.30 (4), p.482-491 |
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| container_title | Pacing and clinical electrophysiology |
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| creator | MOND, HARRY G. HILLOCK, RICHARD J. STEVENSON, IRENE H. McGAVIGAN, ANDREW D. |
| description | Background: Pacing from the right ventricular apex is associated with long‐term adverse effects on left ventricular function. This has fuelled interest in alternative pacing sites, especially the septal aspect of the right ventricular outflow tract (RVOT). However, it is a common perception that septal RVOT pacing is difficult to achieve.
Methods and Results: In this article, we will review the anatomy of the RVOT and discuss the importance of standard radiographic views and the 12‐lead electrocardiogram in aiding lead placement. We will also describe a method utilizing a novel stylet shape, whereby a conventional active‐fixation, stylet‐driven lead can be easily and reliably deployed onto the RVOT septum. |
| doi_str_mv | 10.1111/j.1540-8159.2007.00697.x |
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Methods and Results: In this article, we will review the anatomy of the RVOT and discuss the importance of standard radiographic views and the 12‐lead electrocardiogram in aiding lead placement. We will also describe a method utilizing a novel stylet shape, whereby a conventional active‐fixation, stylet‐driven lead can be easily and reliably deployed onto the RVOT septum.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/j.1540-8159.2007.00697.x</identifier><identifier>PMID: 17437571</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Cardiac Pacing, Artificial - methods ; Cardiac Pacing, Artificial - standards ; Electrocardiography ; Fluoroscopy ; Heart Ventricles - anatomy & histology ; Heart Ventricles - diagnostic imaging ; Heart Ventricles - physiopathology ; Humans ; Reproducibility of Results ; selective-site pacing ; ventricular septal pacing</subject><ispartof>Pacing and clinical electrophysiology, 2007-04, Vol.30 (4), p.482-491</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4717-abd305ba10e808e3fdf2bee39d60ae980e1997f56842c6b36ddf0ddb0bc770bd3</citedby><cites>FETCH-LOGICAL-c4717-abd305ba10e808e3fdf2bee39d60ae980e1997f56842c6b36ddf0ddb0bc770bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1540-8159.2007.00697.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1540-8159.2007.00697.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17437571$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MOND, HARRY G.</creatorcontrib><creatorcontrib>HILLOCK, RICHARD J.</creatorcontrib><creatorcontrib>STEVENSON, IRENE H.</creatorcontrib><creatorcontrib>McGAVIGAN, ANDREW D.</creatorcontrib><title>The Right Ventricular Outflow Tract: The Road to Septal Pacing</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Background: Pacing from the right ventricular apex is associated with long‐term adverse effects on left ventricular function. This has fuelled interest in alternative pacing sites, especially the septal aspect of the right ventricular outflow tract (RVOT). However, it is a common perception that septal RVOT pacing is difficult to achieve.
Methods and Results: In this article, we will review the anatomy of the RVOT and discuss the importance of standard radiographic views and the 12‐lead electrocardiogram in aiding lead placement. We will also describe a method utilizing a novel stylet shape, whereby a conventional active‐fixation, stylet‐driven lead can be easily and reliably deployed onto the RVOT septum.</description><subject>Cardiac Pacing, Artificial - methods</subject><subject>Cardiac Pacing, Artificial - standards</subject><subject>Electrocardiography</subject><subject>Fluoroscopy</subject><subject>Heart Ventricles - anatomy & histology</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Heart Ventricles - physiopathology</subject><subject>Humans</subject><subject>Reproducibility of Results</subject><subject>selective-site pacing</subject><subject>ventricular septal pacing</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFtLwzAUgIMoOqd_QfLkW-tJ0zatoCDDG84Lc07wJaTNqXZ260xanP_e7MJ8NS8J5PvOgY8QysBn7pyMfRaF4CUsSv0AQPgAcSr8-RbpbD62SQdYKLyEJ-ke2bd2DI6CMNole0yEXESCdcj58APpoHz_aOgIp40p87ZShj62TVHV33RoVN6c0iVUK02bmj7jrFEVfVJ5OX0_IDuFqiweru8uebm6HPZuvP7j9W3vou_loWDCU5nmEGWKASaQIC90EWSIPNUxKEwTQJamoojiJAzyOOOx1gVonUGWCwFO7pLj1dyZqb9atI2clDbHqlJTrFsrBfBU8AAcmKzA3NTWGizkzJQTZX4kA7loJ8dykUguEslFO7lsJ-dOPVrvaLMJ6j9xHcsBZyvgu6zw59-D5dNF79K9nO-t_NI2ON_4ynzKWLgV8vXhWob3vXg0eLuTAf8FC5aLyA</recordid><startdate>200704</startdate><enddate>200704</enddate><creator>MOND, HARRY G.</creator><creator>HILLOCK, RICHARD J.</creator><creator>STEVENSON, IRENE H.</creator><creator>McGAVIGAN, ANDREW D.</creator><general>Blackwell Publishing Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200704</creationdate><title>The Right Ventricular Outflow Tract: The Road to Septal Pacing</title><author>MOND, HARRY G. ; HILLOCK, RICHARD J. ; STEVENSON, IRENE H. ; McGAVIGAN, ANDREW D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4717-abd305ba10e808e3fdf2bee39d60ae980e1997f56842c6b36ddf0ddb0bc770bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Cardiac Pacing, Artificial - methods</topic><topic>Cardiac Pacing, Artificial - standards</topic><topic>Electrocardiography</topic><topic>Fluoroscopy</topic><topic>Heart Ventricles - anatomy & histology</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Heart Ventricles - physiopathology</topic><topic>Humans</topic><topic>Reproducibility of Results</topic><topic>selective-site pacing</topic><topic>ventricular septal pacing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MOND, HARRY G.</creatorcontrib><creatorcontrib>HILLOCK, RICHARD J.</creatorcontrib><creatorcontrib>STEVENSON, IRENE H.</creatorcontrib><creatorcontrib>McGAVIGAN, ANDREW D.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MOND, HARRY G.</au><au>HILLOCK, RICHARD J.</au><au>STEVENSON, IRENE H.</au><au>McGAVIGAN, ANDREW D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Right Ventricular Outflow Tract: The Road to Septal Pacing</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2007-04</date><risdate>2007</risdate><volume>30</volume><issue>4</issue><spage>482</spage><epage>491</epage><pages>482-491</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Background: Pacing from the right ventricular apex is associated with long‐term adverse effects on left ventricular function. This has fuelled interest in alternative pacing sites, especially the septal aspect of the right ventricular outflow tract (RVOT). However, it is a common perception that septal RVOT pacing is difficult to achieve.
Methods and Results: In this article, we will review the anatomy of the RVOT and discuss the importance of standard radiographic views and the 12‐lead electrocardiogram in aiding lead placement. We will also describe a method utilizing a novel stylet shape, whereby a conventional active‐fixation, stylet‐driven lead can be easily and reliably deployed onto the RVOT septum.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>17437571</pmid><doi>10.1111/j.1540-8159.2007.00697.x</doi><tpages>10</tpages></addata></record> |
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| ispartof | Pacing and clinical electrophysiology, 2007-04, Vol.30 (4), p.482-491 |
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| language | eng |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Cardiac Pacing, Artificial - methods Cardiac Pacing, Artificial - standards Electrocardiography Fluoroscopy Heart Ventricles - anatomy & histology Heart Ventricles - diagnostic imaging Heart Ventricles - physiopathology Humans Reproducibility of Results selective-site pacing ventricular septal pacing |
| title | The Right Ventricular Outflow Tract: The Road to Septal Pacing |
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