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a heart failure device is called a CRT device the CRT stands for cardiac resynchronization therapy a CRT system includes three leads and a small device your doctor makes a small incision near your collar bone and inserts the leads gently steering them through your blood vessels and Into Your Heart A Lead is placed in the right ventricle another lead is placed in the right atrium and then another is placed in a vein on the outer surface of the left ventricle the doctor then tests the leads and connects them to the CRT device the device is then tested and placed under the skin and the incision is closed local or general anesthesia is needed during the testing of the device