Heart failure, a new implant was tested at the Federico II Polyclinic in Naples
At the “Federico II” Polyclinic in Naples, the implantation of a new cardiac heart system was successfully performed for the first time in Italy. The operation was possible thanks to a new lead with a diameter of 4 times smaller than traditional catheters.
Another success for the “Federico II” Polyclinic of Naples, where, for the first time in Italy, the implantation of a new cardiac king system. The intervention, performed by Antonio Rapacciuolo, was carried out in the electrophysiology and cardiostimulation laboratory of the Complex Operative Unit of Cardiology, Hemodynamics directed by Giovanni Esposito.
Cardiac re with a new lead
By cardiac king we mean one therapeutic strategy to improve prognosis and symptoms of patients suffering from heart failure And dyssynchrony, that is, an altered contraction, between the right and left ventricles of the heart. “The therapy – explains Esposito – is delivered through leads arranged in specific areas (right atrium, right ventricle and left ventricle) to obtain a synchronized contraction of the chambers with improvement of the pump function The response depends almost exclusively on reaching adequate areas of the left ventricle to stimulate ».
And in fact, precisely because positioning the lead, necessary to stimulate an adequate area of the left ventricle, is not simple, that 30-40% of patients does not respond to contact therapy. This happens because each patient has a different anatomy. “Until now – explains Rapacciuolo – the classic catheters did not allow us to experience an individualized therapy”. Recently, however, a lead with a 4 times smaller in diameter than traditional catheters.
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«To carry out this implant – continues Rapacciuolo – a very different technique from the conventional one is required, with navigation of the branches of the coronary sinus even of small caliber and high tortuosity. Having a lead available that can reach any area of the left ventricle gives us the ability to more effectively stimulate a higher percentage of patients“.
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