Document Detail

Left ventricular lead implantation in an unusual anatomy of the proximal coronary sinus.
MedLine Citation:
PMID:  17450329     Owner:  NLM     Status:  MEDLINE    
A 62-year-old man with Class III heart failure and left bundle branch block underwent cardiac resynchronization therapy. Because prior implantation attempts from the left side were unsuccessful, the right side approach was attempted. However, it was still impossible to advance the pre-shaped sheaths into the distal coronary sinus (CS) because the CS was abnormal with a posterior vertical take off followed by a sharp sigmoid curve before the AV groove. Ultimately, a straight sheath was adjusted to fit the sigmoid curve with the guidance of an electrophysiologic catheter and a left ventricular lead was then passed into the anterolateral vein.
Takumi Yamada; Vance J Plumb; Hugh T McElderry; Andrew E Epstein; G Neal Kay
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-04-21
Journal Detail:
Title:  Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing     Volume:  18     ISSN:  1383-875X     ISO Abbreviation:  J Interv Card Electrophysiol     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-05-28     Completed Date:  2007-10-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9708966     Medline TA:  J Interv Card Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  191-3     Citation Subset:  IM    
Division of Cardiovascular Diseases, Cardiac Rhythm Management Laboratory, University of Alabama at Birmingham, Birmingham, AL 35294-0019, USA.
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MeSH Terms
Bundle-Branch Block / complications,  therapy*
Coronary Vessel Anomalies / complications*
Defibrillators, Implantable*
Electrodes, Implanted
Heart Failure*
Heart Ventricles
Middle Aged
Pacemaker, Artificial*

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

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