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Elektrodenplatzierung in der kardialen Devicetherapie

  • Jonas Wörmann,
  • David Duncker,
  • Till Althoff,
  • Christian Heeger,
  • Roland Tilz,
  • Heidi Estner,
  • Andreas Rillig,
  • Philipp Sommer,
  • Leon Iden,
  • Victoria Johnson,
  • K. R. Julian Chun,
  • Henning Jansen,
  • Tilman Maurer,
  • Sonia Busch,
  • Daniel Steven

摘要

The implantation of electrodes for cardiac implantable electronic devices (CIED) requires profound technical understanding and precise execution. The positioning of electrodes in the right ventricle and atrium has significant implications for patient safety and the effectiveness of CIED therapy. Particular focus is given to the distinction between apical and septal stimulation in ventricular positioning. Based on current data, this article provides a practice-oriented guide that leads implanters through the individual steps of electrode positioning. The implantation of electrodes for physiological stimulation (cardiac resynchronization therapy, CRT, and conduction system pacing, CSP) is not addressed in this article.