Document Detail


The coronary venous anatomy: a segmental approach to aid cardiac resynchronization therapy.
MedLine Citation:
PMID:  15992638     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The coronary sinus is the gateway for left ventricular (LV) epicardial lead placement for cardiac resynchronization therapy. The implanting electrophysiologist is usually challenged by a high degree of variability in the coronary venous anatomy, making it important to have a more consistent and uniform segmental approach to describe the coronary venous tree and its branches. Classifying the coronary sinus branches and tributaries by the segment of their location rather than by conventional anatomic names (i.e., middle cardiac vein, great cardiac vein, and so on), would provide more relevant anatomic and functional information at the time of LV lead placement. This would enable the implanting physician to proactively correlate the venous anatomy with the segmental wall motion abnormalities or dyssynchrony, as defined by echocardiography and other imaging modalities. The current viewpoint calls for a more systematic segmental approach for describing the coronary venous anatomy.
Authors:
Jagmeet P Singh; Stuart Houser; E Kevin Heist; Jeremy N Ruskin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  46     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-07-04     Completed Date:  2005-07-28     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:  68-74     Citation Subset:  AIM; IM    
Affiliation:
Cardiac Arrhythmia Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA. jsingh@partners.org
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MeSH Terms
Descriptor/Qualifier:
Cardiac Pacing, Artificial
Coronary Angiography
Coronary Vessels / anatomy & histology*
Heart Ventricles / anatomy & histology*,  radiography
Humans
Phlebography
Terminology as Topic*
Tomography, X-Ray Computed

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


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