Key result
Placement of a coronary stent in a lateral branch of the coronary sinus was successfully used to stabilize a left ventricular lead against the vessel wall.
Case Report (n=1)
Coronary stenting in a coronary sinus tributary may be a viable technique to stabilize a left ventricular lead and prevent dislodgement during cardiac resynchronization therapy.
Cardiac resynchronization therapy has been recently demonstrated to have a mortality and morbidity benefit in heart failure (HF) patients with cardiac dyssynchrony. Currently, the most widely used method of left ventricular (LV) lead placement involves transvenous placement of leads via the coronary sinus (CS) and into a tributary branch. Lead dislodgement is a common cause for reoperation, and continues to be a common problem despite advances in equipment and operator techniques. We describe a case where a coronary stent was placed in a lateral branch of the CS to stabilize the lead against the vessel wall.
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Cesario et al. (2006) conducted a case report in Heart failure with cardiac dyssynchrony (n=1). Coronary stent placement in a lateral branch of the coronary sinus was evaluated on Lead stabilization. Placement of a coronary stent in a lateral branch of the coronary sinus was successfully used to stabilize a left ventricular lead against the vessel wall.
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