Balloon-facilitated delivery of a left ventricular pacing lead

Claude S. Elayi, Matthew G. Whitbeck, Gustavo Morales, John C. Gurley

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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)

Original languageEnglish
Pages (from-to)e31-e34
JournalPACE - Pacing and Clinical Electrophysiology
Volume36
Issue number2
DOIs
StatePublished - Feb 2013

Keywords

  • biventricular pacing
  • cardiac resynchronization therapy
  • cardiac veins
  • coronary sinus
  • left ventricular lead
  • left ventricular pacing
  • pacing leads

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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