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Der Positionierung der linksventrikul\u00e4ren Stimulationselektrode, die in Seit\u00e4sten des Koronarsinus (CS) positioniert wird, kommt hierbei eine besondere Bedeutung zu, da eine optimale Positionierung entscheidend f\u00fcr den Therapieerfolg ist und bei Fehlpositionierung sogar prognoseverschlechternd sein kann. Die Implantation der Elektrode in den CS ist insbesondere, wenn man die Therapie erlernt, herausfordernd und hat eine flachere Lernkurve als die Implantation eines 2\u2011Kammer-Ger\u00e4ts. Deshalb ist neben dem theoretischen Wissen auch operative Erfahrung und manuelle Geschicklichkeit wichtig. Der vorliegende Artikel soll Ihnen helfen, die Grundlagen der Implantation bis in die Tiefe zu verstehen. Sondierungstechniken auch schwieriger CS-Anatomien werden vorgestellt und die typischen Herausforderungen wie Venenklappen und typische Komplikationen an Beispielen n\u00e4her beleuchtet. Zudem werden die verschiedenen Sondentypen mit deren Vor- und Nachteilen vorgestellt. Wir hoffen, Ihnen hiermit Tipps und Tricks an die Hand geben zu k\u00f6nnen, um schnell operativ erfolgreich die CRT-Therapie anwenden zu k\u00f6nnen.<\/jats:p>","DOI":"10.1007\/s00399-025-01088-4","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T14:39:55Z","timestamp":1754318395000},"page":"249-260","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Linksventrikul\u00e4re Elektrodenimplantation im Rahmen der kardialen Resynchronisationstherapie","Left ventricular electrode placement in cardiac resynchronization therapy"],"prefix":"10.1007","volume":"36","author":[{"given":"Andreas","family":"Napp","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henning","family":"Jansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Till","family":"Althoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Tilz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian Hendrik","family":"Heeger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Rillig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leon","family":"Iden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sascha","family":"Rolf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tilman","family":"Maurer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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