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Surgical placement of a left ventricular epicardial pacing lead is a valuable alternative to the standard approach of endovascular placement of a pacing lead in the coronary sinus for cardiac resynchronization therapy. Despite higher perioperative morbidity, surgically placed leads perform well with lower revision and dislocation rates.
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Our results of epicardial LV lead placement demonstrate a clear advantage of avoiding lead-related complications and the necessity of re-operations. Surgical LV lead placement offers the advantage of direct access to the lateral left ventricular wall.
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