Key result
A simultaneous double guidewire technique can successfully overcome sharply angulated coronary sinus branches during left ventricular pacing lead placement.
Why the study?
Does the double wire technique facilitate catheterization of sharply angulated coronary sinus branches during cardiac resynchronization therapy?
Does the double wire technique facilitate catheterization of sharply angulated coronary sinus branches during cardiac resynchronization therapy?
The double wire technique offers a practical solution for navigating sharply angulated coronary sinus branches during CRT lead placement.
May facilitate LV lead placement in angulated CS branches during CRT; hypothesis-generating and requires prospective validation.
Placing a pacing lead for left ventricular pacing through the coronary sinus can be hampered by anatomic obstacles. In this case report we describe a technique that can overcome the problem of sharply angulated coronary sinus branches by using simultaneously two guidewires in the target vessel.
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Chierchia et al. (2005) studied this question. A simultaneous double guidewire technique can successfully overcome sharply angulated coronary sinus branches during left ventricular pacing lead placement.
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