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  • Title: Abolition of diaphragmatic pacing by nonsurgical retraction of a left ventricular lead.
    Author: Herweg B, Barold SS.
    Journal: Pacing Clin Electrophysiol; 2009 Aug; 32(8):1105-6. PubMed ID: 19659635.
    Abstract:
    This report describes the nonsurgical elimination of intractable diaphragmatic stimulation by partial withdrawal of a left ventricular (LV) pacing lead (in the coronary venous system) with resultant preservation of LV pacing. The procedure entailed the use of a deflectable catheter in the right atrium for ensnaring the LV lead. At the 3-month follow-up, the absence of diaphragmatic stimulation was associated with a satisfactory LV pacing threshold and dramatic clinical improvement from effectual biventricular pacing.
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