Robotically assisted left ventricular epicardial lead implantation for biventricular pacing: The posterior approach

Joseph J. Derose, Scott Belsley, Daniel G. Swistel, Roxana Shaw, Robert C. Ashton

Research output: Contribution to journalArticle

34 Scopus citations


Patients with congestive heart failure and altered interventricular conduction enjoy improvements in quality of life and ventricular function after successful resynchronization therapy with biventricular pacing. Technical limitations owing to individual coronary sinus and coronary venous anatomy result in a 10% to 15% failure rate of left ventricular (LV) lead placement through percutaneous approaches. To provide a minimally invasive option for these patients with LV lead failures, we developed a technique of endoscopic, epicardial LV lead implantation with the use of the da Vinci robotic system. The surgical approach targets the posterolateral wall through a novel posterior approach.

Original languageEnglish (US)
Pages (from-to)1472-1474
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number4
Publication statusPublished - Apr 1 2004
Externally publishedYes



  • 24

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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