Practical approach to implanting left ventricular pacing leads for cardiac resynchronization.

Our approach to implanting cardiac resynchronization therapy (CRT) devices combines an understanding of the anatomy of the failing heart and the coronary veins, standard pacing lead insertion skills, and techniques common to diagnostic cardiac catheterization and interventional cardiology. The method we have devised over the past 5 years has provided CRT safely and effectively to a large volume of compromised patients with congestive heart failure (CHF) and conduction system disease.