Transvenous implantation of a coronary sinus lead for left ventricular pacing after cutting balloon angioplasty.
We describe a patient in whom a localized proximal vein stenosis at the only possible target vein precluded placement of a coronary sinus lead for left ventricular (LV) pacing. After multiple attempts to perform venoplasty with both compliant and noncompliant balloons, a cutting balloon relieved the obstruction, and an LV pacing lead was successfully placed in the midportion of this lateral vein.
Lopez
J Alberto
JA
Texas Heart Institute at St. Luke's Episcopal Hospital and Baylor College of Medicine, Houston, Texas, USA. lopezsalas@sbcglobal.net
Hernandez
Eduardo
E
D000800:Angioplasty, Balloon / Q000379:methods*; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial