CRT device in the abdominal area, is it really that bad of an idea?
History: CHB, 100 percent pacer dependent, current device is Medtronic dual chamber atrial sensed. New diagnosis of paroxysms of SVT and other arrhythmias, EF somewhere between 35-40 percent, moderate to sever mitral regurgitation, bioprosthetic tricuspid.
Upcoming surgeries procedures: Mitral valve repair or replace (repeat sternocotomy), addition of left ventricular lead and swapping out the current device for crt device, ablation after for SVT and arrhythmias.
So I have received various answers depending on which doctor I talk too about this:
My current device is in an abdominal pocket (so was my first device). I personally like it there because it is out of the way both cosmetically and physically (no bumping or rubbing etc), my EP tried to convince me it would be better to have the new device placed on my chest because the leads won't need to be as long and less chance of them cracking etc. this would mean a third procedure vs placement during open heart. She eventually agreed to sign off to have it placed in the current pocket but she really did not like the idea, the surgeon and HF doc said it would be fine in my abdomen. Have I made a poor choice not moving the device? To me it makes sense to have less procedures because there would also be the removal of current device and leads, if they can simply add a one more lead and place it in existing pocket that makes more logical sense to me. Anybody have expierience with this? Btw surgery is scheduled for November 11th so not far off.