Skip to main content

Robotic Left Ventricular Epicardial Lead Implantation

  • Chapter
  • First Online:
Robotic Cardiac Surgery

Abstract

Cardiac resynchronization therapy (CRT) has been considered to improve the patient’s hemodynamics, functional status and survival probability for chronic heart failure (CHF) patients. Transvenous insertion of left ventricular leads is currently the route of choice for CRT. However, technical limitations owing to individual coronary sinus (CS) and coronary venous anatomy result in a 10–15 % failure rate of left ventricular lead placement and effective biventricular pacing. The epicardial lead implantation may be the last alternative for those who cannot receive or fail lead implantation through veins. Application of robotic technology to epicardial implantation allows for high-resolution, three-dimensional vision of the ventricular surface. The robotic approach provides assurance of accurate surgical positioning, minimum trauma and improved outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Cleland JGF, Daubert JC, Erdmann E, et al. The Cardiac Resynchronization Heart Failure (CARE-HF) Study Investigators. N Engl J Med. 2005;352:1539–49.

    Article  CAS  PubMed  Google Scholar 

  2. Cazeau S, LeClerq C, Lavergne T, et al. Effects of multisite biventricular pacing in patients with heart failure and intraventricular conduction delay. N Engl J Med. 2001;344:873–80.

    Article  CAS  PubMed  Google Scholar 

  3. Abraham WT, Fischer WG, Smith AL, et al. Cardiac resynchronization in chronic heart failure. N Engl J Med. 2002;346:1845–53.

    Article  PubMed  Google Scholar 

  4. Derose JJ, Balaram S, Ro C, et al. Midterm follow-up of robotic biventricular pacing demonstrates excellent lead stability and improved response rates. Innovations. 2006;1:105–10.

    PubMed  Google Scholar 

  5. Atoui R, Essebag V, Wu V, et al. Biventricular pacing for end stage heart failure: early experience in surgical vs. transvenous left ventricular lead placement. Interact Cardiovasc Thorac Surg. 2008;7:839–44.

    Article  PubMed  Google Scholar 

  6. Gao C, Yang M, Wang G, et al. Robotically assisted mitral valve replacement. J Thorac Cardiovasc Surg. 2012;143(4 Suppl):S64–7.

    Article  PubMed  Google Scholar 

  7. Gao C, Yang M, Wang G, et al. Totally endoscopic robotic ventricular septal defect repair. Innovations. 2010;5(4):278–80.

    PubMed  Google Scholar 

  8. Gao C, Yang M, Wang G, Wang JL, et al. Excision of atrial myxoma using robotic technology. J Thorac Cardiovasc Surg. 2010;5(139):1282–5.

    Article  Google Scholar 

  9. Gao C, Yang M, Wang G, et al. Totally robotic resection of myxoma and atrial septal defect repair. Interact Cardiovasc Thorac Surg. 2008;24(3):313–6.

    Google Scholar 

  10. Gao C, Yang M, Wu Y, et al. Early and midterm results of totally endoscopic coronary artery bypass grafting on the beating heart. J Thorac Cardiovasc Surg. 2011;142(4):843–9.

    Article  PubMed  Google Scholar 

  11. Ansalone G, Giannantoni P, Ricci R, et al. Biventricular pacing in heart failure: back to basics in the pathophysiology of left bundle branch block to reduce number of nonresponders. Am J Cardiol. 2003;91:55F–61.

    Article  PubMed  Google Scholar 

  12. Gao C, Ren CL, Xiao CS, et al. The robotic epicardial lead implantation in cardiac resynchronization therapy. Zhonghua Wai Ke Za Zhi. 2013;51(5):1.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Changqing Gao MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Gao, C., Ren, C., Yang, M. (2014). Robotic Left Ventricular Epicardial Lead Implantation. In: Gao, C. (eds) Robotic Cardiac Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7660-9_10

Download citation

  • DOI: https://doi.org/10.1007/978-94-007-7660-9_10

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-7659-3

  • Online ISBN: 978-94-007-7660-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics