Key result
The anchor balloon technique facilitated deep engagement of the guiding catheter in the target vein and contributed to successful left ventricular lead implantation.
Case Report (n=1)
The anchor balloon technique is a useful strategy for overcoming tortuous coronary sinus branches during LV lead implantation for CRT.
May aid LV lead placement in tortuous veins; leaves open need for prospective trials before wider CRT adoption.
Key Teaching Points•Coronary venoplasty for insertion of the left ventricular (LV) lead is not an uncommon strategy (2%–7% of patients undergo cardiac resynchronization therapy [CRT] device implantation).•Although balloon venoplasty and/or stenting have been described to facilitate LV lead placement, some cases require other implantation strategies.•The anchor balloon technique is useful for deep engagement of the guiding catheter in the target vein and contributes to successful LV lead implantation. •Coronary venoplasty for insertion of the left ventricular (LV) lead is not an uncommon strategy (2%–7% of patients undergo cardiac resynchronization therapy [CRT] device implantation).•Although balloon venoplasty and/or stenting have been described to facilitate LV lead placement, some cases require other implantation strategies.•The anchor balloon technique is useful for deep engagement of the guiding catheter in the target vein and contributes to successful LV lead implantation.
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Kumagai et al. (2018) conducted a case report in Tortuous coronary sinus branch requiring cardiac resynchronization therapy (n=1). Anchor balloon technique was evaluated on Successful left ventricular lead implantation. The anchor balloon technique facilitated deep engagement of the guiding catheter in the target vein and contributed to successful left ventricular lead implantation.
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