Acumen Medical currently has 510(k) clearance for the Insight™ Endocardial Visualization Catheter and the Spirit™ Navigable Lead Delivery Catheter. For more information about using these products in your BiV implant practice, please contact us at 1-800-990-7948, Option 1.

Or email us at Sales@Acumen-Medical.com

Background
An 81YO man with history of non-ischemic cardiomyopathy presented with existing BiV ICD without LV lead due to previous implant failure. Patient had degraded from EF of 30% to 8% in the past 7 months.

Approach
The small coronary sinus ostium was found high on the posterior atrial septum and cannulated using the Insight™ Endocardial Visualization System (Acumen Medical, Inc). Following initial venogram with the Insight, which showed a very tortuous route to a high lateral branch, a guidewire was placed in the coronary sinus and the Spirit™ Navigable Lead Delivery Catheter was placed all the way to the high lateral branch. The LV pacing lead was then successfully delivered through the Spirit™, to a mid lateral location with late sensing and stable position.

Result
BiV pacing was established through optimal positioning of an LV lead in a case where previous LV lead implant attempt had failed. The patient will be followed at 6 months to record the effect of newly established resynchronization following chronic RV apical pacing.