A novel technique for placement of coronary sinus pacing leads in cardiac resynchronization therapy.
A new technique for the placement of left ventricular pacing leads in the tributaries of the coronary sinus (CS) is described. Antegrade visualization of the CS is accomplished by selective coronary angiography, and a hydrophilic 0.032 in. wire is advanced along the CS. This facilitates the advancement of a CS sheath over a multipurpose diagnostic catheter. A hydrophilic angioplasty wire is then utilized for the negotiation of the inferior left ventricular vein and successful placement of the left ventricular pacing lead.
Katritsis
Demosthenes G
DG
Department of Cardiology, Athens Euroclinic, 9 Athanassiadou Street, Athens 11521, Greece. dkatritsis@euroclinic.gr
D000368:Aged; D017130:Angioplasty / Q000379:methods; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D002309:Cardiology / Q000379:methods*; D002311:Cardiomyopathy, Dilated / Q000628:therapy*; D002404:Catheterization; D054326:Coronary Sinus / Q000473:pathology*; D004567:Electrodes, Implanted; D004867:Equipment Design; D005260:Female; D005471:Fluoroscopy / Q000379:methods; D006801:Humans; D013997:Time Factors; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000628:therapy*