cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2015-30-1-101-105cardiotomsk-152Research ArticleКЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯCLINICAL STUDIESЭндокардиальная имплантация левожелудочкового электрода для кардиоресинхронизирующей терапииEndocardial approach of left ventricle lead implantation for cardiac resynchronization therapyКропоткинЕвгений БорисовичKropotkinE. B.kroj@inbox.ruИваницкийЭдуард АлексеевичIvanitskiyE. A.edwiner@yandex.ruСаковичВалерий АнатольевичSakovichV. A.drsakovich@krascor.ruДроботДмитрий БорисовичDrobotD. B.profdrobot@yandex.ruГанкинМарк ИсааковичGankinM. I.gankin@yandex.ruФГБУ "Федеральный центр сердечно-сосудистой хирургии" Минздрава РоссииРоссияFederal Center of Cardiovascular SurgeryRussian FederationГБОУ ВПО "Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого" Минздрава РоссииРоссияKrasnoyarsk State Medical University n.a. Prof. V.F. Voyno-YasenetskyRussian Federation201506092016301101105Copyright © Кропоткин Е.Б., Иваницкий Э.А., Сакович В.А., Дробот Д.Б., Ганкин М.И., 20162016Кропоткин Е.Б., Иваницкий Э.А., Сакович В.А., Дробот Д.Б., Ганкин М.И.Kropotkin E.B., Ivanitskiy E.A., Sakovich V.A., Drobot D.B., Gankin M.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/152

С целью оценки эффективности и безопасности кардиоресинхронизирующей терапии, где левожелудочковый электрод имплантирован эндокардиально, были проанализированы данные обследования и лечения 10 последовательных пациентов.

The aim of the study was to assess efficacy and safety of cardiac resynchronization therapy, where the left ventricle lead was implanted endocardially. Data of 10 consecutive patients were analyzed.

сердечная недостаточностьсердечная ресинхронизирующая терапиялевый желудочекэндокардиальная стимуляцияфракция выбросатранссептальная пункциятрансапикальный доступheart failurecardiac resynchronization therapyleft ventricleejection fractiontransseptal puncturetransapical approachReferencesDickstein K., Cohen-Solal A., Filippatos G. et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008. The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM) // Eur. J. Heart Fail. - 2008. - Vol. 29. - P. 2388-2442.Dickstein K., Cohen-Solal A., Filippatos G. et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008. The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM) // Eur. J. Heart Fail. - 2008. - Vol. 29. - P. 2388-2442.Cazeau S., Alonso C., Jauvert G. et al. Cardiac resynchronization therapy // Europace. - 2004. - Vol. 5. - P. 42-48.Cazeau S., Alonso C., Jauvert G. et al. Cardiac resynchronization therapy // Europace. - 2004. - Vol. 5. - P. 42-48.Leon A.R., Abraham W.T., Curtis A.B. et al. Safety of transvenous cardiac resynchronization system implantation in patients with chronic heart failure: combined results of over 2,000 patients from a multicenter study program // J. Am. Coll. Cardiol. -2005. - Vol. 46. - P. 2348-2356.Leon A.R., Abraham W.T., Curtis A.B. et al. Safety of transvenous cardiac resynchronization system implantation in patients with chronic heart failure: combined results of over 2,000 patients from a multicenter study program // J. Am. Coll. Cardiol. -2005. - Vol. 46. - P. 2348-2356.Gras D., Bocker D., Lunati M. et al. Implantation of cardiac resynchronization therapy systems in the CARE-HF trial: procedural success rate and safety // Europace. - 2007. -Vol. 9. - P. 516-522.Gras D., Bocker D., Lunati M. et al. Implantation of cardiac resynchronization therapy systems in the CARE-HF trial: procedural success rate and safety // Europace. - 2007. -Vol. 9. - P. 516-522.Becker M., Altiok E., Ocklenburg C. Analysis of LV lead position in cardiac resynchronization therapy using different imaging modalities // J. Am. Coll. Cardiol. Cardiovasc. Imaging. - 2010. - Vol. 3. - P. 472-481.Becker M., Altiok E., Ocklenburg C. Analysis of LV lead position in cardiac resynchronization therapy using different imaging modalities // J. Am. Coll. Cardiol. Cardiovasc. Imaging. - 2010. - Vol. 3. - P. 472-481.Ypenburg C., Schalij M.J., Bleeker G.B. et al. Impact of viability and scar tissue on response to cardiac resynchronization therapy in ischaemic heart failure patients // Eur. Heart J. - 2007. -Vol. 28. - P. 33-41.Ypenburg C., Schalij M.J., Bleeker G.B. et al. Impact of viability and scar tissue on response to cardiac resynchronization therapy in ischaemic heart failure patients // Eur. Heart J. - 2007. -Vol. 28. - P. 33-41.Puglisi A., Lunati M., Marullo A.G. et al. Limited thoracotomy as a second choice alternative to transvenous implant for cardiac resynchronisation therapy delivery // Eur. Heart J. - 2004. -Vol. 25. - P. 1063-1069.Puglisi A., Lunati M., Marullo A.G. et al. Limited thoracotomy as a second choice alternative to transvenous implant for cardiac resynchronisation therapy delivery // Eur. Heart J. - 2004. -Vol. 25. - P. 1063-1069.Mair H., Jansens J.L., Lattouf O.M. et al. Epicardial lead implantation techniques for biventricular pacing via left lateral mini-thoracotomy, video-assisted thoracoscopy, and robotic approach // Heart Surg. Forum. - 2003. - Vol. 6. - P. 412-417.Mair H., Jansens J.L., Lattouf O.M. et al. Epicardial lead implantation techniques for biventricular pacing via left lateral mini-thoracotomy, video-assisted thoracoscopy, and robotic approach // Heart Surg. Forum. - 2003. - Vol. 6. - P. 412-417.Miller A.L., Kramer D.B., Lewis E.F. et al. Event-free survival following CRT with surgically implanted LV leads versus standard transvenous approach // Pacing Clin. Electrophysiol. - 2011. - Vol. 34. - P. 490-500.Miller A.L., Kramer D.B., Lewis E.F. et al. Event-free survival following CRT with surgically implanted LV leads versus standard transvenous approach // Pacing Clin. Electrophysiol. - 2011. - Vol. 34. - P. 490-500.Fish J.M., Di Diego J.M., Nesterenko V.V. et al. Epicardial activation of left ventricular wall prolongs QT interval and transmural dispersion of repolarization: implications for biventricular pacing // Circulation. - 2004. - Vol. 109. - P. 2136-2142.Fish J.M., Di Diego J.M., Nesterenko V.V. et al. Epicardial activation of left ventricular wall prolongs QT interval and transmural dispersion of repolarization: implications for biventricular pacing // Circulation. - 2004. - Vol. 109. - P. 2136-2142.Fish J.M., Brugada J., Antzelevitch C. Potential proarrhythmic effects of biventricular pacing // J. Am. Coll. Cardiol. - 2005. -Vol. 46. - P. 2340-2347.Fish J.M., Brugada J., Antzelevitch C. Potential proarrhythmic effects of biventricular pacing // J. Am. Coll. Cardiol. - 2005. -Vol. 46. - P. 2340-2347.Abraham W.T., Fisher W.G., Smith A.L. et al. MIRACLE Study Group. Multicenter Insync Randomized Clinical Evaluation // Ann. Thorac. Surg. - 2009. - Vol. 87. - P. 650-652.Abraham W.T., Fisher W.G., Smith A.L. et al. MIRACLE Study Group. Multicenter Insync Randomized Clinical Evaluation // Ann. Thorac. Surg. - 2009. - Vol. 87. - P. 650-652.Van Rees J.B., de Bie M.K., Thijssen J. et al. Implantation-related complications of implantable cardioverter-defibrillators and cardiac resynchronization therapy devices: a systematic review of randomized clinical trials // J. Am. Coll. Cardiol. - 2011. -Vol. 58. - P. 995-1000.Van Rees J.B., de Bie M.K., Thijssen J. et al. Implantation-related complications of implantable cardioverter-defibrillators and cardiac resynchronization therapy devices: a systematic review of randomized clinical trials // J. Am. Coll. Cardiol. - 2011. -Vol. 58. - P. 995-1000.Pierre Bordachar P., Derval N., Ploux S. et al. Left ventricle endocardial stimulation for severe heart failure // J. Am. Coll. Cardiol. - 2010. - Vol. 56. - P. 747-753.Pierre Bordachar P., Derval N., Ploux S. et al. Left ventricle endocardial stimulation for severe heart failure // J. Am. Coll. Cardiol. - 2010. - Vol. 56. - P. 747-753.Morgan J.M., Scott P.A., Turner N.G. et al. Targeted left ventricular endocardial pacing using a steerable introducing guide catheter and active fixation pacing lead // Europace. - 2009. - Vol. 11. - P. 502-506.Morgan J.M., Scott P.A., Turner N.G. et al. Targeted left ventricular endocardial pacing using a steerable introducing guide catheter and active fixation pacing lead // Europace. - 2009. - Vol. 11. - P. 502-506.Kassai I., Foldesi C., Szekely A. et al. Alternative Method for Cardiac Resynchronization: Transapical Lead Implantation // Ann. Thorac. Surg. - 2009. - Vol. 87. - P. 650-652.Kassai I., Foldesi C., Szekely A. et al. Alternative Method for Cardiac Resynchronization: Transapical Lead Implantation // Ann. Thorac. Surg. - 2009. - Vol. 87. - P. 650-652.Betts T.R., Gamble J.H.P., Khiani R. et al. Development of a technique for left ventricular endocardial pacing via puncture of the interventricular septum // Circ. Arrhythm. Electrophysiol. - 2014. - Vol. 7. - P. 17-22.Betts T.R., Gamble J.H.P., Khiani R. et al. Development of a technique for left ventricular endocardial pacing via puncture of the interventricular septum // Circ. Arrhythm. Electrophysiol. - 2014. - Vol. 7. - P. 17-22.Karavidas A., Lazaros G., Matsakas E. et al. Early pacemaker lead thrombosis leading to massive pulmonary embolism // Echocardiography. - 2004. - Vol. 21. - P. 429-432.Karavidas A., Lazaros G., Matsakas E. et al. Early pacemaker lead thrombosis leading to massive pulmonary embolism // Echocardiography. - 2004. - Vol. 21. - P. 429-432.Jais P., Takahashi A., Garrigue S. et al. Mid-term follow-up of endocardial biventricular pacing // Pacing Clin. Electrophysiol. - 2000. - Vol. 23. - P. 1744-1747.Jais P., Takahashi A., Garrigue S. et al. Mid-term follow-up of endocardial biventricular pacing // Pacing Clin. Electrophysiol. - 2000. - Vol. 23. - P. 1744-1747.Leclercq F., Hager F.X., Macia J.C. et al. Left ventricular lead insertion using a modified transseptal catheterization technique: a totally endocardial approach for permanent biventricular pacing in end-stage heart failure // Pacing Clin. Electrophysiol. - 1999. - Vol. 22. - P. 1570-1575.Leclercq F., Hager F.X., Macia J.C. et al. Left ventricular lead insertion using a modified transseptal catheterization technique: a totally endocardial approach for permanent biventricular pacing in end-stage heart failure // Pacing Clin. Electrophysiol. - 1999. - Vol. 22. - P. 1570-1575.Van Deursen C., Van Geldorp I.E., Rademakers L.M. et al. Left ventricular endocardial pacing improves resynchronization therapy in canine left bundle-branch hearts // Circ. Arrhythm. Electrophysiol. - 2009. - Vol. 2. - P. 580-587.Van Deursen C., Van Geldorp I.E., Rademakers L.M. et al. Left ventricular endocardial pacing improves resynchronization therapy in canine left bundle-branch hearts // Circ. Arrhythm. Electrophysiol. - 2009. - Vol. 2. - P. 580-587.

The authors declare that there are no conflicts of interest present.