Coronary Sinus Anatomy and its Importance-evidence based Review

Karuppiah Arunachalam

doi:10.4172/2161-0940.1000207

January 1, 2016Anatomy & Physiology

Coronary Sinus Anatomy and its Importance-evidence based Review

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Key Points

To review the anatomy and tributary branching patterns of the coronary sinus and evaluate their clinical relevance in cardiac electrophysiological and regenerative procedures.
Evidence-based narrative review synthesizing anatomical literature and clinical documentation regarding the coronary venous system.
Assessed cardiac interventions including left ventricular pacing, biventricular defibrillator lead navigation, ablation, and investigational retrograde myocardial stem cell delivery.
Identified the coronary sinus as the principal cardiac venous conduit required for deploying left ventricular pacing leads and managing biventricular defibrillator placement.
Characterized substantial anatomical heterogeneity in coronary venous tributaries that directly affects procedural navigation, catheter stability, and device delivery success.
Highlighted emerging research using coronary sinus branches for targeted retrograde stem cell infusion to treat ischemic myocardial regions.

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Implication

Supports targeted EP training on coronary sinus variants; leaves open prospective outcome studies in variant anatomy.

Abstract

Coronary sinus is the largest cardiac venous channel and its increasingly used during electrophysiological procedures like LV pacing, biventricular ICD lead placement and ablation. There are few other novel procedures under research including stem cell delivery in case of ischemic myocardium. Coronary sinus anatomy, its variations in tributaries and the clinical implications are discussed in this review article.

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Karuppiah Arunachalam (2016) studied this question.

synapsesocial.com/papers/6a7d275d76c74e41c946cea1 https://doi.org/10.4172/2161-0940.1000207

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Coronary Sinus Anatomy and its Importance-evidence based Review

Key Points

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Coronary Sinus Anatomy and its Importance-evidence based Review

Key Points

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Abstract

Discussion

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