Vol. 18 No. 4 (2014): Heart Rhythm Disoders (Special Issue)
ANATOMY IN CARDIOVASCULAR MEDICINE

Right ventricle/interventricular septum electrophysiological anatomy (determination of optimal right ventricular lead placement)

PDF (Русский)
  • M. Didenko,
  • D. Starchik,
  • S. Marchenko,
  • G. Pasenov,
  • G. Khubulava
M. Didenko
S.M. Kirov Military Medical Academy
Bio
D. Starchik
International Morphological Centre
Bio
S. Marchenko
S.M. Kirov Military Medical Academy
Bio
G. Pasenov
S.M. Kirov Military Medical Academy
Bio
G. Khubulava
S.M. Kirov Military Medical Academy
Bio
DOI: https://doi.org/10.21688/1681-3472-2014-4-132-138

Published 2014-10-28

Keywords

  • CARDIAC PACING,
  • INTERVENTRICULAR SEPTUM,
  • ANATOMY,
  • RIGHT VENTRICLE

How to Cite

Didenko, M., Starchik, D., Marchenko, S., Pasenov, G., & Khubulava, G. (2014). Right ventricle/interventricular septum electrophysiological anatomy (determination of optimal right ventricular lead placement). Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 18(4), 132–138. https://doi.org/10.21688/1681-3472-2014-4-132-138

Copyright (c) 2015 Didenko M.V., Starchik D.A., Marchenko S.P., Pasenov G.S., Khubulava G.G.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Notwithstanding a theoretically justified lead placement into the interventricular septum (IVS), the data from the clinical trials demonstrate somewhat controversial results. One of these controversies is the absence of consolidated criteria for positioning the electrode to deliver pacing from the interventricular septum (IVS) area. The study describes anatomic features of RV and IVS with respect to the cardiac conduction system, normal ventricular excitation and electrode implantation techniques for continuous pacing. A comparative study of 73 specimens of cadaver hearts was carried out by using electro-anatomic 3D mapping of the heart, X-ray examination, computer-aided tomography, morphological and morphometric investigation. It was found out that the medium part of IVS in the septomarginal trabecula zone could be considered the best for continuous pacing. The criteria for the RV lead to be implanted in this zone were determined.
PDF (Русский)

References

  1. Parekh S., Stein K.M. Selective site pacing: Rationale and practical application. Curr. Cardiol. Rep. 2008; 10 (5): 351-9.
  2. Sweeney M.O., Hellkamp A., Ellenbogen K., et al. Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction. Circulation. 2003; 107 (23): 2932-37.
  3. Sharma A.D., Rizo-Patron C., Hallstrom A., et al. Percent right ventricular pacing predicts outcomes in the DAVID trial. Heart. Rhythm. 2005; 2 (8): 830-4.
  4. Steinberg J.S., Fisher A., Wang P., et al. The clinical implications of cumulative right ventricular pacing in the multicenter automatic defibrillator trial II. J. Cardiovasc. Electrophysiol. 2005; 16 (4): 359-65.
  5. Dabrowska-Kugacka A., Lewicka-Nowak E., Tybura S., et al. Survival analysis in patients with preserved left ventricular function and standard indications for permanent cardiac pacing randomized to right ventricular apical or septal outflow tract pacing. Circ. J. 2009; 73 (10): 1812-9.
  6. Weizong W., Zhongsu W., Yujiao Z., et al. Effects of right ventricular nonapical pacing on cardiac function: a meta-analysis of randomized controlled trials. Pacing Clin. Electrophysiol. 2013; 36 (8): 1032-51.