CRT - D placement of third wire dilemma
My EP had difficulty placing the third wire of my CRT-D. He mentioned that my options were either having it placed surgically or explore HIS pacing as an alternative. I met with a surgeon yeaterday regarding placing the wire and he discouraged it right now since I am Class 1 (no symptoms). He also mentioned that I should wait until I really need one when I am showing symptoms of HF. At this point, the reward does not equal the risk (he mentioned that the wire only lasts 3-4 years and replacement of the wire is difficult). My cardiologist says I need the third wire placed since my EF is around 30 and I have LBBB. She also mentioned that the older I get (I am 65), surgery will be more difficult .
My alternative, HIS pacing, is new to the hospital and they said they do not know much about the benefits.
The question is wheather or not to have the wire placed surgically, or have HIS pacing.