Comprehensive use of cardiac computed tomography to guide left ventricular lead placement in cardiac resynchronization therapy

• Published in: Heart rhythm Vol. 14; no. 9; pp. 1364 - 1372
• Main Authors: Behar, Jonathan M., MBBS, Rajani, Ronak, MD, Pourmorteza, Amir, PhD, Preston, Rebecca, MBBS, Razeghi, Orod, PhD, Niederer, Steve, PhD, Adhya, Shaumik, MD, Claridge, Simon, MBBS, Jackson, Tom, MBBS, Sieniewicz, Ben, MBBS, Gould, Justin, BSc, Carr-White, Gerry, PhD, Razavi, Reza, MD, McVeigh, Elliot, PhD, Rinaldi, Christopher Aldo, MD, FHRS
• Format: Journal Article
• Language: English
• Published: United States Elsevier 01.09.2017
• Subjects: Aged; Cardiac Resynchronization Therapy - methods; Cardiovascular; Clinical; Electrocardiography; Female; Follow-Up Studies; Heart Failure - diagnostic imaging; Heart Failure - physiopathology; Heart Failure - therapy; Heart Ventricles - diagnostic imaging; Heart Ventricles - physiopathology; Humans; Male; Predictive Value of Tests; Reproducibility of Results; Time Factors; Tomography, X-Ray Computed - statistics & numerical data; Ventricular Function, Left - physiology; Ventricular Remodeling - physiology; Cardiac computed tomography; Dyssynchrony; Myocardial fibrosis; Cardiac resynchronization therapy; Image guided intervention; CT guided intervention

Background Optimal lead positioning is an important determinant of cardiac resynchronization therapy (CRT) response. Objective The purpose of this study was to evaluate cardiac computed tomography (CT) selection of the optimal epicardial vein for left ventricular (LV) lead placement by targeting reg...