Left ventricular lead stabilization utilizing a coronary stent.
Cardiac resynchronization therapy has been recently demonstrated to have a mortality and morbidity benefit in heart failure (HF) patients with cardiac dyssynchrony. Currently, the most widely used method of left ventricular (LV) lead placement involves transvenous placement of leads via the coronary sinus (CS) and into a tributary branch. Lead dislodgement is a common cause for reoperation, and continues to be a common problem despite advances in equipment and operator techniques. We describe a case where a coronary stent was placed in a lateral branch of the CS to stabilize the lead against the vessel wall.
Cesario
David A
DA
UCLA Cardiac Arrhythmia Center, Department of Medicine, Division of Cardiology, David Geffen School of Medicine at UCLA, Los Angeles, California 90095, USA. dcesario@mednet.ucla.edu
Shenoda
Michael
M
Brar
Ramandeep
R
Shivkumar
Kalyanam
K
D000368:Aged; D001807:Blood Vessel Prosthesis; D003331:Coronary Vessels / Q000601:surgery*; D004567:Electrodes, Implanted; D006333:Heart Failure / Q000517:prevention & control*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D019919:Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods*; D015607:Stents