Trans-coronary-venous interventions.
The coronary venous system is routinely targeted during electrophysiological measurements or cardiac resynchronization therapy. However, several novel interventional techniques require coronary venous catheterization and visualization as well as transvenous delivery of devices and/or therapeutic agents. Recent reports suggest the possibility of a transvenous approach for the interventional treatment of refractory angina and mitral valve regurgitation. In addition, the coronary venous system has been used as a route for the delivery of stem cells in patients with left ventricular dysfunction due to ischemic heart disease. We review the potential value of using a coronary venous approach in association with recent therapeutic developments in the interventional treatment of structural and ischemic heart disease. We will also discuss techniques related to coronary venous catheterization.
Siminiak
Tomasz
T
Department of Cardiology, Poznan Medical University, Cardiac and Rehabilitation Hospital Kowanówko, ul. Sanatoryjna 34, 64-600 Kowanówko k/Obornik Wlkp., Poland. tomasz.siminiak@usoms.poznan.pl
Lipiecki
Janusz
J
D002405:Catheterization, Central Venous / Q000379:methods*; D003331:Coronary Vessels / Q000473:pathology; D016503:Drug Delivery Systems; D004568:Electrodiagnosis; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000628:therapy*; D017202:Myocardial Ischemia / Q000503:physiopathology / Q000628:therapy*; D019736:Prostheses and Implants; D033581:Stem Cell Transplantation; D018487:Ventricular Dysfunction, Left / Q000628:therapy*