Document Detail


Cardiac resynchronization therapy with individualized placement of two left ventricular leads at the sites of latest mechanical left ventricular contraction: guided by 3D-echocardiography and coronary sinus rotation angiography.
MedLine Citation:
PMID:  20150329     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
A 78-year-old woman with dilated cardiomyopathy was admitted for advanced dyspnoea and recurrent cardiac decompensation despite optimal medical therapy. Implantation of a cardiac resynchronization therapy (CRT) device was indicated according to current guidelines. The day before CRT implantation, three-dimensional echocardiography was performed together with coronary sinus (CS) rotation angiography, which identified two sites of latest mechanical left ventricular (LV) contraction with adjacently available target veins. This case presents the first description of CRT target vein selection using a combination of functional information on LV contraction with anatomical information on the CS venous tree. In this specific patient, the approach eventually necessitated placement of two LV leads.
Authors:
Charlotte Eitel; Michael Döring; Thomas Gaspar; Ulrike Wetzel; Roland Bullens; Gerhard Hindricks; Christopher Piorkowski
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-02-11
Journal Detail:
Title:  European journal of heart failure : journal of the Working Group on Heart Failure of the European Society of Cardiology     Volume:  12     ISSN:  1879-0844     ISO Abbreviation:  Eur. J. Heart Fail.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100887595     Medline TA:  Eur J Heart Fail     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  411-4     Citation Subset:  IM    
Affiliation:
Department of Electrophysiology, University of Leipzig, Heart Center, Strümpellstrasse 39, Leipzig, Germany. charlotteeitel@gmx.de
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