Document Detail

Antegrade visualisation of the coronary sinus for left ventricular pacing.
MedLine Citation:
PMID:  18459468     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Failure to achieve left ventricular pacing remains one of the obstacles to cardiac resynchronisation therapy. METHODS: A new technique for the placement of left ventricular pacing leads in the tributaries of the coronary sinus is described. Antegrade visualisation of the coronary sinus is accomplished by selective coronary angiography and a hydrophilic 0.032" wire is advanced along the coronary sinus. This facilitates advancement of a coronary sinus sheath over a multipurpose diagnostic catheter. A hydrophilic angioplasty wire is then utilised for negotiation of the inferior left ventricular vein and successful placement of the left ventricular pacing lead. RESULTS: In 5 patients in whom cannulation attempts were unsuccessful despite prolonged fluoroscopy time (39.85 +/- 9.6 min), the new technique resulted in successful placement of the left ventricular pacing lead within an average fluoroscopy time of 6.5 +/- 2.1 min. CONCLUSION: Antegrade visualisation of the coronary sinus via selective coronary angiography and the use of a hydrophilic angiography wire may facilitate successful implantation of a left ventricular pacing lead in difficult cases.
Eleftherios Giazitzoglou; Demosthenes G Katritsis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hellenic journal of cardiology : HJC = Hellēnikē kardiologikē epitheōrēsē     Volume:  49     ISSN:  1109-9666     ISO Abbreviation:  -     Publication Date:    2008 Mar-Apr
Date Detail:
Created Date:  2008-05-07     Completed Date:  2008-07-29     Revised Date:  2009-02-12    
Medline Journal Info:
Nlm Unique ID:  101257381     Medline TA:  Hellenic J Cardiol     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  102-5     Citation Subset:  IM    
Department of Cardiology, Athens Euroclinic, Athens, Greece.
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MeSH Terms
Cardiac Pacing, Artificial*
Cardiomyopathy, Dilated / radiography,  therapy*
Cohort Studies
Coronary Sinus*
Electrodes, Implanted
Heart Catheterization / methods*
Middle Aged
Myocardial Ischemia / radiography,  therapy*
Pacemaker, Artificial*

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