LV lead placement (RAO view). A, Endo-cardial LV lead in position; B, deflectable tip select secure sheath; C, Daig SL1 transeptal sheath in RA with 0.35 inch J tip guidewire in LA; D, temporary CS electrode; E, temporary RVA electrode; F, Active fixation DF and pacing RVA lead; G, old RVA lead (see Figure 1 for abbreviations).