TY - JOUR
T1 - Balloon-facilitated delivery of a left ventricular pacing lead
AU - Elayi, Claude S.
AU - Whitbeck, Matthew G.
AU - Morales, Gustavo
AU - Gurley, John C.
N1 - Copyright:
Copyright 2013 Elsevier B.V., All rights reserved.
PY - 2013/2
Y1 - 2013/2
N2 - While modern implant tools have contributed greatly to the success of cardiac resynchronization therapy, technical challenges remain. A common problem is the inability to advance left ventricular pacing leads into branch veins that are tortuous or arise at steep angles. In these cases, advancement of the lead causes it to buckle and prolapse into the coronary sinus or great cardiac vein. Lead prolapsed can be avoided by employing a balloon to temporarily obstruct the coronary sinus or great cardiac vein just upstream from the branch vein. The balloon redirects the force of advancement laterally into the branch vein, facilitating delivery. (PACE 2013; 36:e31-e34)
AB - While modern implant tools have contributed greatly to the success of cardiac resynchronization therapy, technical challenges remain. A common problem is the inability to advance left ventricular pacing leads into branch veins that are tortuous or arise at steep angles. In these cases, advancement of the lead causes it to buckle and prolapse into the coronary sinus or great cardiac vein. Lead prolapsed can be avoided by employing a balloon to temporarily obstruct the coronary sinus or great cardiac vein just upstream from the branch vein. The balloon redirects the force of advancement laterally into the branch vein, facilitating delivery. (PACE 2013; 36:e31-e34)
KW - biventricular pacing
KW - cardiac resynchronization therapy
KW - cardiac veins
KW - coronary sinus
KW - left ventricular lead
KW - left ventricular pacing
KW - pacing leads
UR - http://www.scopus.com/inward/record.url?scp=84873409767&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84873409767&partnerID=8YFLogxK
U2 - 10.1111/j.1540-8159.2010.03019.x
DO - 10.1111/j.1540-8159.2010.03019.x
M3 - Article
C2 - 21276022
AN - SCOPUS:84873409767
SN - 0147-8389
VL - 36
SP - e31-e34
JO - PACE - Pacing and Clinical Electrophysiology
JF - PACE - Pacing and Clinical Electrophysiology
IS - 2
ER -