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dc.contributor.author
Ortega, Daniel  
dc.contributor.author
Logarzo, Emilio  
dc.contributor.author
Barja, Luis  
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Paolucci, Analía  
dc.contributor.author
Mangani, Nicolás  
dc.contributor.author
Mazzetti, Eduardo  
dc.contributor.author
Bonomini, Maria Paula  
dc.date.available
2020-12-04T15:44:27Z  
dc.date.issued
2020-11  
dc.identifier.citation
Ortega, Daniel; Logarzo, Emilio; Barja, Luis; Paolucci, Analía; Mangani, Nicolás; et al.; Novel implant technique for septal pacing. A noninvasive approach to nonselective his bundle pacing; Churchill Livingstone Inc Medical Publishers; Journal of Electrocardiology; 63; 11-2020; 35-40  
dc.identifier.issn
0022-0736  
dc.identifier.uri
http://hdl.handle.net/11336/119876  
dc.description.abstract
Background: His Bundle pacing (HBP) preserves native ventricular activation through His Purkinje. Unfortunately, most current techniques for HBP implants require sheaths, special leads, and an electrophysiology setup for electrogram recording. Methods: We developed an implantation technique guided by a non-invasive assessment of left ventricular electrical delay (LVED) as a measure of intraventricular dyssynchrony. The objective was to evaluate the usefulness and safety of this technique for implants of pacemakers and ICDs with right ventricular septal pacing (RVSP) using conventional screw-in leads and compare it with a reduced group of HBP (n = 32) guided by His potential mapping. 208 patients eligible for ventricular stimulation were implanted. Conventional screw-in leads were used in all cases. To ensure mechanical stability, stylets required a slight reshaping at the tip Results: RVSP normalized electrical activity in patients with conduction disease, producing NS-HBP-like patterns. The parameters evaluated during implantation for the RVSP group were better than those of HBP and remained constant at a twelve months follow-up. In proportion, the number of dislodgments and the need for CRT upgrade was lower for RVSP than for HBP. Additionally, fluoroscopy time was significantly reduced in the RVSP group. Conclusions: This technique successfully guided RVSP implants in a non-invasive way and represents a simple alternative to the implant of a cardiac stimulation device.  
dc.format
application/pdf  
dc.language.iso
eng  
dc.publisher
Churchill Livingstone Inc Medical Publishers  
dc.rights
info:eu-repo/semantics/restrictedAccess  
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/  
dc.subject
CARDIAC STIMULATION DEVICE  
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IMPLANTATION TECHNIQUE  
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LEFT VENTRICULAR ELECTRICAL DELAY  
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NON-SELECTIVE HIS BUNDLE PACING  
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RIGHT VENTRICULAR SEPTAL STIMULATION  
dc.subject.classification
Ingeniería Médica  
dc.subject.classification
Ingeniería Médica  
dc.subject.classification
INGENIERÍAS Y TECNOLOGÍAS  
dc.title
Novel implant technique for septal pacing. A noninvasive approach to nonselective his bundle pacing  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
dc.type
info:eu-repo/semantics/publishedVersion  
dc.date.updated
2020-12-02T20:11:51Z  
dc.journal.volume
63  
dc.journal.pagination
35-40  
dc.journal.pais
Países Bajos  
dc.journal.ciudad
Amsterdam  
dc.description.fil
Fil: Ortega, Daniel. Fundación para Investigaciones Biológicas Aplicadas; Argentina  
dc.description.fil
Fil: Logarzo, Emilio. Fundación para Investigaciones Biológicas Aplicadas; Argentina  
dc.description.fil
Fil: Barja, Luis. No especifíca;  
dc.description.fil
Fil: Paolucci, Analía. Fundación para Investigaciones Biológicas Aplicadas; Argentina  
dc.description.fil
Fil: Mangani, Nicolás. Fundación para Investigaciones Biológicas Aplicadas; Argentina  
dc.description.fil
Fil: Mazzetti, Eduardo. No especifíca;  
dc.description.fil
Fil: Bonomini, Maria Paula. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Saavedra 15. Instituto Argentino de Matemática Alberto Calderón; Argentina. Universidad de Buenos Aires. Facultad de Ingeniería. Instituto de Ingeniería Biomédica; Argentina  
dc.journal.title
Journal of Electrocardiology  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/abs/pii/S0022073620305525?via%3Dihub  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/https://doi.org/10.1016/j.jelectrocard.2020.09.008