Coronary vein angioplasty with noncompliant balloon for resistant coronary vein stenosis during left ventricular lead implantation.
This report describes a patient who underwent cardiac resynchronization therapy (CRT) in the setting of a severe stenosis in the lateral coronary vein that prevented passage of a left ventricular lead. The stenosis was unresponsive to standard compliant balloon dilatation but was successfully treated with a noncompliant balloon. Venoplasty with noncompliant balloon should be considered for resistant coronary vein stenosis encountered during CRT device implantation.
Chauhan
Ketul
K
Department of Cardiology, University of South Florida College of Medicine, JA Haley VA Hospital, Tampa, Florida, USA.
Sayad
Dany
D
Bowerman
Richard
R
Barold
S Serge
SS
D000800:Angioplasty, Balloon / Q000379:methods*; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000628:therapy*; D004567:Electrodes, Implanted; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial