Figure 1: Left ventricular endocardial lead placement procedure:
Brockenbrough needle and sheath in the RA (A) . Snare is
tightened over transseptal sheath/needle (B) . Snare and sheath
in the left ventricle with transseptal apparatus removed (C) .
Sheath still in place in the left ventricle (D) . LV lead is
advanced through sheath from the axillary vein into the LV (E) .
Final procedural image with LV lead in the endocardium (F) .