Estimulación septal del ventrÃculo derecho como alternativa a la estimulación apical. ¿Cómo ubicar el electrodo?
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Los efectos perjudiciales de la estimulación apical del ventrÃculo derecho se conocen desde hace décadas y están en relación con el porcentaje de estimulación ventricular. El septum ventricular derecho es el sitio alternativo a la estimulación apical más estudiado. A pesar de su teórica superioridad, la evidencia médica ha sido heterogénea y no ha demostrado su claro beneficio. Convencionalmente, la posición septal del electrodo se confirma por la proyección fluoroscópica de la sonda y por las caracterÃsticas electrocardiográficas, pero varios estudios han demostrado sus limitaciones. Aunque el empleo combinado de múltiples vistas fluoroscópicas nos permiten asegurar una ubicación septal con alta precisión, este enfoque necesita de grandes estudios prospectivos, que empleen a la tomografÃa cardiaca contratada como método de validación.
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- Brignole M, Auricchio A, Baron-Esquivias G, Boardachar P, Boriani G, Breithardt OA et al.2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: The Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developedin collaboration with the European Heart Rhythm Association (EHRA). Europace 2013;15:1070–118.
- Pombo Jiménez M, Cano Perez O, Lorente Carreno D, Chimeno Garcia J. Spanish Pacemaker Registry. 15th Official Report of the Spanish Societyof Cardiology Working Group on Cardiac Pacing (2017). Rev. Española Cardiol. English Ed.2018.
- Prinzen FW, Peschar M. Relation between the pacing induced sequence of activation and left ventricular pump function in animals. Pacing Clin Electrophysiol 2002; 25:484 –98.
- Delgado V, Tops LF, Trines SA, Zeppnfeld K, Marsan NA, Bertini M et al. Acute effects of right ventricular apical pacing on left ventricular synchrony and mechanics. Circ Arrhythm Electrophysiol 2009;2:135—45.
- Tops LF, Schalij MJ, Bax JJ. The effects of right ventricular apical pacing on ventricular function and dyssynchrony. J Am Coll Cardiol. 2009; 54:764–76.
- Vijayaraman P, Chung MK,Dandamudi G,Upadhyay GA, Krishnan K, Crossley G et al. Marcapasos de haz de His. Am Coll Cardiol 2018; 72:927-47.
- Catanzariti D, Maines M, Cemin C, Brosso G, Marotta T, Vrgara G. Permanent direct His bundle pacing does not induce ventricular dyssynchrony unlike conventional right ventricular apical pacing. An intra-patient acute comparison study. J Interv Card Electrophysiol 2006;16:81–92.
- Das A, Kahali D. Physiological cardiac pacing: Current status. Indian Heart Journal 2016;68:552-8.
- Medi C, Med B, Mond H. Ventricular Outflow Tract Septal Pacing: Long-Term Follow-Up of Ventricular Lead Performance. PACE 2009;32:172–6.
- Burri H, Sunthorn H,Dorsaz PA,Viera I, Shah D. Thresholds and Complications with Right Ventricular Septal Pacing Compared to Apical Pacing. PACE 2007;30:S75–S8.
- Kypta A, Steinwender C, Kammler J, et al. Long-term outcomes in patients with atrioventricular block undergoing septal ventricular lead implantation compared with standard apical pacing. Europace 2008;10:574–9.
- Mond H. The Road to Right Ventricular Septal Pacing: Techniques and Tools. PACE 2010;33:888–98.
- Mond HG, Hillock RJ, Stevenson IH, et al. The right ventricular outflow tract:the road to septal pacing. Pacing Clin Electrophysiol. 2007;30:482–91.
- Srivatsa SS. Finding the sweet spot for non-apical RV pacing. J Invasive Cardiol.2014;26:140–7.
- Burri H, Domenichini G, Sunthorn H, Ganiere V, Stettleetr C. Comparison of tools and techniques for implanting pacemaker leads on the ventricular midseptum. Europace 2012;14:847–52.
- Osmancik P, Stros P, Herman D, Curila K, Petr R. The insufficiency of left anterior oblique and the usefulness of right anterior oblique projection for correct localization of a computed tomography–verified right ventricular lead into the mid-septum. Circ Arrhythm Electrophysiol 2013;6:719–25.
- Buckingham TA, Candinas R, Duru F, Pagotto E, Schonbeck M, Amann FW, et al. Acute hemodynamic effects of alternate and combined site pacing in patients after cardiac surgery. Pacing Clin Electrophysiol. 1999; 22:887–93.
- Pastore G, Zanon F, Noventa F, Baracca E, Aggio S, Corbucci G et al. Variability of left ventricular electromechanical activation during right ventricular pacing: implications for the selection of the optimal pacing site. Pacing Clin Electrophysiol.2010;33:566–74.
- Tse HF, Yu C, Wong KK, Tsang V, Leung YL, Ho WY et al. Functional abnormalities in patients with permanent right ventricular pacing. The effect of sites of electrical stimulation. J Am Coll Cardiol 2002;40:1451–8.
- Kypta A, Steinwender C, Kammler J, Leisch F, Hofmann R. Long-term outcomes in patients with atrioventricular block undergoing septal ventricular lead implantation compared with standard apical pacing. Europace 2008;10:574–9.
- Vanerio G, Vidal JL, Banizl PF, Viana P, Tejada J, Banina AD. Medium- and long-term survival after pacemaker implant: improved survival with right ventricular outflow tract pacing. J Int Cardiac Electrophysiol. 2008; 21:195–201.
- Flevari P, Leftheriotis D, Fountoulaki K, Panou F, Rigopoulos AG, Paraskevaides I et al. Long-termn on outflow septal versus apical right ventricular pacing: relation to left ventricular dyssynchrony. Pacing Clin Electrophysiol 2009;32:354—62.
- Molina L, Sutton R, Gandoy W, Reyes N, Lara S, Limón F et al. Medium-term effects of septal and apical pacing in pacemaker-dependent patients: a double-Blind prospective randomized study. PACE 2014;37:207–14.
- Victor F, Mabo P, Mansour H, Pavin D, Kabalu G, de Place C et al. A randomized comparison of permanent septal versus apical right ventricular pacing: short-term results. J Cardiovasc Electrophysiol 2006;17:238–242.
- Gong X, Su Y, Pan W, Cui J, Liu S, Shu X. Is right ventricular outflow tract pacing superior to right ventricular apex pacing in patients with normal cardiac function? Clin Cardiol 2009;32:695–9.
- Yoon HJ, Jin SW, Her SH, Lee JM, Shin WS, Kim JH et al. Acute changes in cardiac synchrony and output according to RV pacing sites in Koreans with normal cardiac function. Echocardiography 2009;26:665–74.
- Stambler BS, Ellenbogen KA, Zhang X, Porter TR, Xie F, Malik R et al. Right ventricular outflow versusapical pacing in paced patients with congestive heart failure and atrialfibrillation. J Cardiovasc Electrophysiol 2003;14:1180–6.
- Shimony A, Eisenberg MJ, Filion KB, Amit W. Beneficial effects of rightventricular non-apical vs. apical pacing: a systematic review and metaanalysis of randomized-controlled trials. Europace 2012; 14:81–91.
- Cano Ó, Andrés A, Alonso P, Osca J, Sancho-Tello MJ, Olagüe J et al. Incidence and predictors of clinically relevant cardiac perforation associated with systematic implantation of active-fixation pacing and defibrillation leads: a single-centre experience with over 3800 implanted leads. Europace 2017;19:96–102.
- Dasa A, Kahalib D. Ventricular septal pacing: Optimum method to position the lead. Indian Heart Journal 2017. Disponible en: www.elsevir .com/locate/ihj.
- Sharma G, Salman S, Prashanthan S, Himanshu G, Gurpreet G, Priya J et al. Inadequacy of fluoroscopy and electrocardiogram in predicting septal position in RVOT pacing – validation with cardiac computed tomography. Indian Heart J 2016;68:174–80.
- Mond HG, Feldman A, Saurabh K, Rosso R, Hung TT, Pang B et al. Alternate site rightventricular pacing: defining template scoring. PACE 2011;34:1080–6.
- Chen D, Wei H, Tang J, Liu L, Wu S, Lin C et al. A randomized comparison offluoroscopic techniques for implanting pacemaker lead on the rightventricular outflow tract septum. Int J Cardiovasc Imaging 2016;32:721–8.
- Squara F, Scarlatti D, Riccini P, Garret G, Moceri P, Ferrari E. Individualized Left Anterior Oblique Projection. A Highly Reliable Patient-Tailored Fluoroscopy Criterion for Right Ventricular Lead Positioning. Circ Arrhythm Electrophysiol 2018;11: e006107. DOI: 10.1161/CIRCEP.117.006107.
- Rosso R, Medi C, The AW, Hung TT, Feldman A, Lee G et al. Right ventricular septal pacing: a comparative study of outflow tract and mid-ventricular site. PACE 2010;33:1169–77.
- Dixit S, Gerstenfeld EP, Callans DJ, Marchlinski FE. Electrocardiographic patterns of superior right ventricular outflow tract tachycardias:distinguishing septal and free-wall sites of origin. J Cardiovasc Electrophysiol 2003;14:1–7.
- Rosso R, Teh AW, Medi C, Hung TT, Balasubramaniam R, Mond H. Right ventricular septal pacing: the success of stylet-driven active-fixation leads. PACE 2010;33:49-53.
- Burri H, Park CI, Zimmermann M, Gentil-Baron P, Stettler C, Sunthorn H, et al. Utility of the surface electrocardiogram for confirming right ventricular septal pacing: validation using electroanatomical mapping. Europace 2011;13:82–6.
- Domenichini G, Sunthorn H, Fleury E, Foulkes H, Stettler C, Burri H. Pacing of the interventricular septum versus the right ventricular apex: a prospective, randomized study. Eur J Intern Med 2012;23:621–7.
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