Left ventricular lead implantation in an unusual anatomy of the proximal coronary sinus

Takumi Yamada; Vance J. Plumb; Hugh T. McElderry; Andrew E. Epstein; G. Neal Kay

doi:10.1007/s10840-007-9093-1

Left ventricular lead implantation in an unusual anatomy of the proximal coronary sinus

Takumi Yamada, Vance J. Plumb, Hugh T. McElderry, Andrew E. Epstein, G. Neal Kay

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	191-193
Number of pages	3
Journal	Journal of Interventional Cardiac Electrophysiology
Volume	18
Issue number	2
DOIs	https://doi.org/10.1007/s10840-007-9093-1
State	Published - Mar 2007
Externally published	Yes

Keywords

Cardiac resynchronization therapy
Coronary sinus
Left ventricular lead

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Left ventricular lead implantation in an unusual anatomy of the proximal coronary sinus",

abstract = "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.",

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AU - Yamada, Takumi

AU - Plumb, Vance J.

AU - McElderry, Hugh T.

AU - Epstein, Andrew E.

AU - Kay, G. Neal

PY - 2007/3

Y1 - 2007/3

N2 - 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.

AB - 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.

KW - Cardiac resynchronization therapy

KW - Coronary sinus

KW - Left ventricular lead

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Left ventricular lead implantation in an unusual anatomy of the proximal coronary sinus

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