alexa The right ventricular outflow tract: the road to septal pacing.
Cardiology

Cardiology

Arrhythmia: Open Access

Author(s): Mond HG, Hillock RJ, Stevenson IH, McGavigan AD

Abstract Share this page

BACKGROUND:

Pacing from the right ventricular apex is associated with long-term adverse effects on left ventricular function. This has fuelled interest in alternative pacing sites, especially the septal aspect of the right ventricular outflow tract (RVOT). However, it is a common perception that septal RVOT pacing is difficult to achieve.

METHODS AND RESULTS:

In this article, we will review the anatomy of the RVOT and discuss the importance of standard radiographic views and the 12-lead electrocardiogram in aiding lead placement. We will also describe a method utilizing a novel stylet shape, whereby a conventional active-fixation, stylet-driven lead can be easily and reliably deployed onto the RVOT septum.

This article was published in Pacing Clin Electrophysiol. and referenced in Arrhythmia: Open Access

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