Video-Assisted Thoracic Placement of Epicardial Leads

Cardiac resynchronization therapy is one of the cornerstones of heart failure treatment. Inability to access the coronary sinus or one of its sidebranches is one of the most common causes of therapeutic failure. We describe a technique using video-assisted thoracic surgery for epicardial placement of the left ventricular lead and use an intrathoracic route to connect the lead to the device. doi: 10.1111/jocs.12283 (J Card Surg 2014;29:286-289)