Document Detail

Coronary vein balloon angioplasty for left ventricular pacemaker lead implantation.
MedLine Citation:
PMID:  12505227     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Retrospective analysis of five cases of coronary vein balloon angioplasty performed to allow insertion of left ventricular pacing leads. BACKGROUND: Coronary vein stenoses or an insufficient vessel caliber can preclude transvenous placement of coronary vein leads. METHODS: We compared our total patient population (n = 218), in whom we implanted coronary vein leads, to those five patients who required coronary vein angioplasty to allow lead placement. Standard over-the-wire coronary artery balloon angioplasty catheters were used to dilate the vessel to 2.5 mm (n = 3) or 3.5 mm (n = 2). RESULTS: Transvenous lead placement succeeds in >99% of patients. Four cases of target vein stenoses and one case of a vein of insufficient caliber were successfully treated by balloon angioplasty. There were no complications. CONCLUSIONS: Coronary vein angioplasty is an effective and safe technique to permit transvenous left ventricular pacing lead insertion in cases of target vein stenoses or insufficient target vein caliber.
Bert Hansky; Barbara Lamp; Kazutomo Minami; Johannes Heintze; Leon Krater; Dieter Horstkotte; Reiner Koerfer; Jürgen Vogt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  40     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-12-30     Completed Date:  2003-02-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2144-9     Citation Subset:  AIM; IM    
Department of Thoracic and Cardiovascular Surgery, Bad Oeynhausen, Germany.
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MeSH Terms
Angioplasty, Balloon*
Coronary Vessels*
Defibrillators, Implantable*
Heart Failure / therapy
Middle Aged
Pacemaker, Artificial*
Retrospective Studies
Ventricular Function, Left / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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