Key result
Repairing a fractured abandoned coronary sinus lead restores effective biventricular pacing at 12 months.
Case Report (n=1)
Reconstruction of the terminal of an abandoned fractured unipolar coronary sinus lead is a feasible solution to restore effective CRT in patients with limited venous access.
May offer a salvage option for fractured CS leads in limited-access CRT cases; leaves open durability and generalizability beyond single reports.
Complications related to coronary sinus lead are not infrequent in recipients of cardiac resynchronization devices. We describe the case of a patient with a biventricular implantable cardioverter defibrillator with persistent phrenic nerve stimulation, previous coronary sinus lead fracture, and severe left subclavian vein stenosis. The reimplantation of a new coronary sinus lead on the left side, ipsilateral to the original implant, was unsuccessful. In order to avoid more complex and risky procedures, we performed the repair of the fractured abandoned lead with the reconstruction of the unipolar lead terminal. Effective biventricular pacing was obtained with satisfactory electrical parameters and it was maintained at twelve months follow-up.
No takes yet. Share an insight, caveat, or question.
Gardini et al. (2013) conducted a case report in Biventricular implantable cardioverter defibrillator with persistent phrenic nerve stimulation, previous coronary sinus lead fracture, and severe left subclavian vein stenosis (n=1). Repair of the fractured abandoned lead with reconstruction of the unipolar lead terminal was evaluated on Effective biventricular pacing with satisfactory electrical parameters. Repair of a fractured abandoned coronary sinus lead with reconstruction of the unipolar lead terminal restored effective biventricular pacing, which was maintained at 12 months follow-up.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: