[Anatomy, special features and angiographic assessment of the coronary sinus].
The endovenous approach for left ventricular lead implantation can be used in most patients. A complete angiography of the coronary vein will increase the success rate of lead implantation. From a technical point of view, attention should be focused on anatomical variation, which leads to a higher number of complications like dissection or perforation of the vessel. However, in a number of cases a left verticular lead must be implanted epimyocardial due to anatomical reasons.
Lawo
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Medizinische Klinik II, Klinik für Kardiologie und Angiologie, Universitätsklinik "Bergmannsheil", Bochum, Bürkle-de-la-Camp Platz 1, 44789 Bochum. Thomas.Lawo@rub.de
D017023:Coronary Angiography / Q000379:methods*; D003331:Coronary Vessels / Q000033:anatomy & histology*; D004567:Electrodes, Implanted; D006801:Humans; D010138:Pacemaker, Artificial; D019919:Prosthesis Implantation / Q000379:methods*