Double wire technique to catheterize sharply angulated coronary sinus branches in cardiac resynchronization therapy.
Placing a pacing lead for left ventricular pacing through the coronary sinus can be hampered by anatomic obstacles. In this case report we describe a technique that can overcome the problem of sharply angulated coronary sinus branches by using simultaneously two guidewires in the target vessel.
Chierchia
Gian-Battista
GB
Cardiovascular Center Aalst, OLV Hospital, Aalst, Belgium.
Geelen
Peter
P
Rivero-Ayerza
Maximo
M
Brugada
Pedro
P
D000368:Aged; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D003331:Coronary Vessels / Q000033:anatomy & histology*; D004567:Electrodes, Implanted; D006333:Heart Failure / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000628:therapy*