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Thoracoscopic epicardial left ventricular bipolar lead implantation with the use of automated titanium fasteners (Cor-Knot®).

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101265113 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-8090 (Electronic) Linking ISSN: 17498090 NLM ISO Abbreviation: J Cardiothorac Surg Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BioMed Central, 2006-
    • Subject Terms:
      Pacemaker, Artificial* ; Titanium*; Cardiac Resynchronization Therapy/*methods ; Cardiomyopathy, Dilated/*therapy ; Heart Ventricles/*physiopathology ; Suture Techniques/*instrumentation ; Thoracoscopy/*methods; Aged ; Female ; Humans ; Sutures
    • Abstract:
      Background: Pacemaker implantation techniques using thoracoscopy have been described since about 25 years. However, the published reports concerning types of electrodes refer mostly to monopolar screw-in leads. We report our experience of thoracoscopic implantation of a bipolar suture-on epicardial electrode with monofilamentous sutures tightened by automated fasteners to avoid hand-tied knots.
      Case Presentation: A 69-year-old Caucasian female patient with a cardiac resynchronization therapy - defibrillator (CRT-D) due to dilated cardiomyopathy required the implantation of a supplementary left ventricluar resynchronization electrode. Because of unfavorable venous access, we chose a thoracoscopic approach. A bipolar suture-on epicardial electrode, was implanted by means of polypropylene monofilament 2-0 threads and automated titanium fasteners (Cor-Knot®). The intervention was uneventful. The correct function of the device was confirmed postoperatively and the patient was dismissed within 3 days from hospital. Six months after implantation the cardiologic control asserted regular device function and restitution of normal ejection fraction (EF 60%).
      Conclusion: This case demonstrates the feasibility, safety and effectiveness of automated fasteners in the setting of thoracoscopic implantation of epicardial bipolar suture-on leads.
    • References:
      Pacing Clin Electrophysiol. 2008 Jul;31(7):812-8. (PMID: 18684277)
      Europace. 2012 Apr;14(4):509-14. (PMID: 21993433)
      Pacing Clin Electrophysiol. 2016 May;39(5):471-7. (PMID: 26920816)
      Pacing Clin Electrophysiol. 1983 May;6(3 Pt 1):592-600. (PMID: 6191297)
      Chest. 1993 Jan;103(1):271-2. (PMID: 8417896)
      Br J Surg. 1996 Mar;83(3):400. (PMID: 8665206)
    • Contributed Indexing:
      Keywords: Cor-knot; Epicardial pacemaker electrode; Thoracoscopy
    • Accession Number:
      D1JT611TNE (Titanium)
    • Publication Date:
      Date Created: 20190630 Date Completed: 20191111 Latest Revision: 20200225
    • Publication Date:
      20250114
    • Accession Number:
      PMC6599233
    • Accession Number:
      10.1186/s13019-019-0945-4
    • Accession Number:
      31253165