Cardiac resynchronization therapy for patients with congenital heart disease: Technical challenges

Meera Manchanda; Christopher J. McLeod; Ammar Killu; Samuel J. Asirvatham

doi:10.1007/s10840-012-9726-x

Cardiac resynchronization therapy for patients with congenital heart disease: Technical challenges

Meera Manchanda, Christopher J. McLeod, Ammar Killu, Samuel J. Asirvatham

Cardiovascular Medicine

Research output: Contribution to journal › Review article › peer-review

12 Scopus citations

Abstract

Cardiac resynchronization therapy (CRT) is a commonly used procedure to help patients with drug refractory heart failure (HF) symptoms. More patients with congenital heart disease (CHD) survive to adulthood with the improvements that have occurred as a result of surgical and medical care of these patients. However, patients with CHD may develop ventricular dysfunction and HF and thus be considered for CRT. In this review, we discuss the unique features of CRT in the adult CHD population. We examine the existing data on utilization of CRT in patients with HF and CHD and specifically discuss the limitations in terms of benefit as well as data availability. Finally, we review the specific coronary sinus anatomy and technical considerations for placing a left ventricular lead in patients with CHD.

Original language	English (US)
Pages (from-to)	71-79
Number of pages	9
Journal	Journal of Interventional Cardiac Electrophysiology
Volume	36
Issue number	1
DOIs	https://doi.org/10.1007/s10840-012-9726-x
State	Published - Jan 2013

Keywords

Biventricular pacing
Cardiac resynchronization
Heart failure
Pacemakers
Transposition of the great arteries
ccTGA

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1007/s10840-012-9726-x

Cite this

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abstract = "Cardiac resynchronization therapy (CRT) is a commonly used procedure to help patients with drug refractory heart failure (HF) symptoms. More patients with congenital heart disease (CHD) survive to adulthood with the improvements that have occurred as a result of surgical and medical care of these patients. However, patients with CHD may develop ventricular dysfunction and HF and thus be considered for CRT. In this review, we discuss the unique features of CRT in the adult CHD population. We examine the existing data on utilization of CRT in patients with HF and CHD and specifically discuss the limitations in terms of benefit as well as data availability. Finally, we review the specific coronary sinus anatomy and technical considerations for placing a left ventricular lead in patients with CHD.",

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AU - Killu, Ammar

AU - Asirvatham, Samuel J.

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KW - Pacemakers

KW - Transposition of the great arteries

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Cardiac resynchronization therapy for patients with congenital heart disease: Technical challenges

Abstract

Keywords

ASJC Scopus subject areas

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