Use of Coronary Venous Angioplasty to Facilitate Optimal Placement of Left Ventricular Lead during CRT

被引:6
|
作者
Osman, Faizel [1 ,2 ]
Kundu, Suman [1 ]
Tuan, Juin [1 ]
Pathmanathan, Ravi K. [1 ]
机构
[1] Univ Hosp Leicester, Glenfield Gen Hosp, Dept Cardiol, Leicester LE3 9QP, Leics, England
[2] Univ Hosp Coventry, Coventry, W Midlands, England
来源
关键词
cardiac resynchronization therapy; percutaneous angioplasty; coronary vein stenosis;
D O I
10.1111/j.1540-8159.2008.02217.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiac resynchronization therapy (CRT) has become an accepted treatment for selected patients with drug-resistant heart failure. In some cases CRT implantation can be difficult, particularly optimal left ventricular stimulation through proper lead placement. Difficulties can arise from venous stenosis, atypical and tortuous coronary sinus anatomy, presence of venous valves, postoperative deformation, and absence of vessels in the target location. Various methods adapted from percutaneous coronary artery intervention can be applied to resolve these problems and ensure a good lead position. (PACE 2009; 32:281-282).
引用
收藏
页码:281 / 282
页数:2
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