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If neurostimulator lead positioning is determined to be incorrect, a lead revision procedure should be considered.
In these cases, a surgical approach with epicardial lead positioning is preferable.
This significant non-response rate can be ascribed to a variety of reasons including suboptimal patient selection, inappropriate lead positioning, or suboptimal CRT programming (device optimization) [9].
Preserved intrinsic conduction in paced sinus node disease (SND) patients seems to be associated with a better outcome when compared with apical right ventricular (RV) DDD pacing.The prospective, multicenter, randomized OPTIMIST study was designed to compare RV lead positioning in the septum to preserved intrinsic conduction in chronically paced SND patients.
If the neurostimulator lead positioning was determined to be incorrect, a lead revision procedure was considered.
Such variations in VV delay may be related to different patterns of mechanical activation and LV lead positioning.
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