Coronary venous angioplasty and stenting for biventricular pacemaker left ventricular lead implantation

Biventricular pacing for the treatment of congestive heart failure is now one of the forefront therapies for symptomatic heart failure patients who are receiving maximal medical therapy. Recent advances in lead technology and delivery systems have improved the success rates of left ventricular (LV)...

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Bibliographic Details
Published in:The Journal of invasive cardiology 2007-05, Vol.19 (5), p.E128-E130
Main Authors: Makaryus, Amgad N, Boutis, Loukas, Goldner, Bruce, Park, Chong H
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Angioplasty, Balloon, Coronary - methods
Cardiac Catheterization - methods
Cardiac Pacing, Artificial - methods
Combined Modality Therapy
Defibrillators, Implantable
Echocardiography, Transesophageal
Electrocardiography
Follow-Up Studies
Heart Failure - diagnosis
Heart Failure - therapy
Heart Ventricles
Humans
Male
Risk Assessment
Severity of Illness Index
Stents
Tachycardia, Ventricular - diagnosis
Tachycardia, Ventricular - therapy
Treatment Outcome
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Summary:Biventricular pacing for the treatment of congestive heart failure is now one of the forefront therapies for symptomatic heart failure patients who are receiving maximal medical therapy. Recent advances in lead technology and delivery systems have improved the success rates of left ventricular (LV) lead implantation. A major difficulty in LV lead implantation, however, occurs in patients with coronary vein stenoses, insufficient coronary vein caliber, or significant variations in coronary venous anatomy, in terms of left ventricular lead implantation. We sought to examine whether cardiac vein angioplasty and/or stenting would allow for the proper placement of the LV lead in these patients.
ISSN:1557-2501