Effect of Lead Placement on Cardiac Pacing

Sunday, March 14, 9:30 AM -12:30 PM
Lead management and placement has taken center stage in the last few years. In fact, the INCREMENTAL trial found that echo-targeted placement of leads for ischemic cardiomyopathy patients receiving a cardiac resynchronization therapy (CRT) device improved cardiac function and survival.

A study by Patterson et al found that the use of rotational angiography to construct a 3D model of the patient’s heart facilitated lead placement in a similar patient population receiving a CRT device (J Invasive Cardiol 2010;22:E27–E29).

This poster session will explore many aspects of lead placement and will be helmed by two EP luminaries: Drs. Bruce Wilkoff and Andrew Epstein. Presentations include:

• Biventricular versus Left Ventricular Pacing for Cardiac Resynchronization Therapy: Comparison of the Acute Hemodynamic Response and Optimal AV Delay (Medical University of South Carolina, Charleston) 

• The Relationship between the Proximity of Left Ventricular Lead Positions to the Latest Site of Activation and Response to Cardiac Resynchronization Therapy: How Close Do You Need to Be? (Addenbrooke's Hospital, Cambridge, U.K.) 

• Right Ventricular Pacing in Heart Failure Patients with RBBB: Effects on RV Hemodynamic Function and Optimization of the AV Delay (Medical University of South Carolina, Charleston) 

• The Impact of Right Ventricular Lead Position on Response to Cardiac Resynchronisation Therapy in Patients with Concordant and Discordant Left Ventricular Leads (Addenbrooke's Hospital, Cambridge, U.K.) 

• Right Ventricular Outflow Tract Pacing Brings Favorable Cardiac Output in comparison with Mid-ventricular or Apical Pacing (Asahikawa Medical College, Asahikawa, Japan)

 
Location: Hall B5

Speaker Information:
Bruce L. Wilkoff, MD Cleveland
Andrew E. Epstein, MD, Philadelphia