How to implant a phrenic nerve stimulator for treatment of central sleep apnea?

ABSTRACT:

Background

Central sleep apnea (CSA) is a breathing disorder caused by the intermittent absence of central respiratory drive. Transvenous phrenic nerve stimulation is a new therapeutic option, recently approved by the FDA , for the treatment of CSA.

Objective

To describe the technique used to implant the transvenous phrenic nerve stimulation system (the remedē System, Respicardia, Inc).

Methods

The remedē System is placed in the pectoral region, typically on the right side. A single stimulation lead is placed in either the left pericardiophrenic vein (PPV) or the right brachiocephalic vein (RBC). A sensing lead is placed into the azygous vein to detect respiration.

Results

In the remedē System Pivotal trial, 147 of 151 (97%) patients were successfully implanted

SUBMITTER: Augostini RS 

PROVIDER: S-EPMC6850096 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature