1. Simple access to the coronary venous system for left ventricular pacing.
- Author
-
Sayad DE, Sawar A, Curkovic V, Gallardo I, and Barold SS
- Subjects
- Aged, Female, Fluoroscopy, Humans, Male, Time Factors, Ventricular Function, Left physiology, Cardiac Catheterization, Cardiac Pacing, Artificial methods, Coronary Vessels, Pacemaker, Artificial
- Abstract
Implantation of the LV lead for biventricular pacing can be challenging, time consuming, and often requires extensive fluoroscopy time. A conventional diagnostic 5 Fr left Amplatz catheter was used to cannulate the coronary sinus in 15 consecutive patients undergoing implantation of a biventricular pacemaker. When the coronary sinus was cannulated, the proximal end of the Amplatz catheter was cut and the coronary sinus sheath was passed over the Amplatz catheter that was then removed. Coronary sinus cannulation was achieved in all 15 patients with a mean fluoroscopy time of 3.34 +/- 1.9 minutes. Subsequent implantation of a biventricular pacemaker was successful and free of complications in all the 15 patients.
- Published
- 2003
- Full Text
- View/download PDF