Document Detail


Intercommissural lead placement into a right ventricular coronary sinus-utility of intracardiac echo guidance.
MedLine Citation:
PMID:  20374519     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Patients with congenital heart disease and prosthetic valves frequently present management dilemmas related to cardiac pacing and lead placement. Permanent pacing of the right ventricle across a bioprosthetic tricuspid valve presents discreet issues related to its potential for traumatic injury and subsequent prosthetic valve dysfunction. Coronary sinus (CS) lead placement is being used more frequently to avoid valvular dysfunction. We report an unusual case in which the CS ostium was located ventricular to the tricuspid prosthesis. Intracardiac echocardiography was used to position a CS lead between the commissures of the tricuspid prosthesis resulting in trivial regurgitation acutely and at 1-year follow-up. (PACE 2011; 34:e30-e32).
Authors:
Christopher J McLeod; Naser M Ammash; Samuel J Asirvatham
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  34     ISSN:  1540-8159     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e30-2     Citation Subset:  IM    
Copyright Information:
©2010, The Authors. Journal compilation ©2010 Wiley Periodicals, Inc.
Affiliation:
Division of Cardiovascular Diseases, Department of Medicine Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota.
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