Derose Joseph J, Belsley Scott, Swistel Daniel G, Shaw Roxana, Ashton Robert C
Division of Cardiothoracic Surgery, St. Luke's-Roosevelt Hospital Center and Columbia University College of Physicians and Surgeons, New York, New York, USA.
Ann Thorac Surg. 2004 Apr;77(4):1472-4. doi: 10.1016/S0003-4975(03)01159-7.
Patients with congestive heart failure and altered interventricular conduction enjoy improvements in quality of life and ventricular function after successful resynchronization therapy with biventricular pacing. Technical limitations owing to individual coronary sinus and coronary venous anatomy result in a 10% to 15% failure rate of left ventricular (LV) lead placement through percutaneous approaches. To provide a minimally invasive option for these patients with LV lead failures, we developed a technique of endoscopic, epicardial LV lead implantation with the use of the da Vinci robotic system. The surgical approach targets the posterolateral wall through a novel posterior approach.
充血性心力衰竭且心室间传导异常的患者，在成功进行双心室起搏再同步治疗后，生活质量和心室功能得到改善。由于个体冠状窦和冠状静脉解剖结构导致的技术限制，经皮途径进行左心室（LV）导线植入的失败率为10%至15%。为这些LV导线植入失败的患者提供一种微创选择，我们开发了一种使用达芬奇机器人系统进行内镜下心外膜LV导线植入的技术。手术方法通过一种新颖的后路针对后外侧壁。
