Document Detail

the coronary venous system: an alternative route of access to the myocardium.
MedLine Citation:
PMID:  17090824     Owner:  NLM     Status:  MEDLINE    
The purpose of this paper is to review what is known regarding the anatomy of the coronary venous system, and the commonly used techniques for its selective catheterization. This is with regard to new innovative percutaneous techniques that have led to a burgeoning interest in methods of access to the coronary veins. Anatomical variation in the epicardial system exists, and the additional role of the Thebesian venous system may have important clinical implications. Catheter-based techniques for coronary vein retroperfusion may provide alternative treatment modalities for patients with no option for revascularization using conventional techniques. Furthermore, the use of the coronary venous system has now been reported for the regional delivery of drugs, cells and genes to protect and/or regenerate the myocardium. Finally, the use of the coronary venous system by the cardiac electrophysiologist is reviewed.
Ajay K Jain; Elliot J Smith; Martin T Rothman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  18     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-08     Completed Date:  2007-02-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  563-8     Citation Subset:  IM    
Department of Cardiology, London Chest Hospital, London, United Kingdom.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / methods
Collateral Circulation / physiology
Coronary Circulation / physiology
Coronary Disease / physiopathology,  therapy
Coronary Vessels / anatomy & histology,  physiopathology*
Myocardial Reperfusion / methods
Neovascularization, Physiologic
Sensitivity and Specificity
Stem Cell Transplantation / methods
Veins / anatomy & histology*,  physiology*

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

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