Key result
Retained guidewire technique for CS leads is linked to lead and wire fracture at 2 years.
Case Report
The retained guidewire technique for coronary sinus lead stabilization may lead to late complications such as lead and guidewire fracture.
Associated late fracture warrants caution with retained guidewire CS leads; leaves open long-term safety and need for prospective evaluation.
Cardiac Resynchronization therapy (CRT) using coronary sinus (CS) leads is an established method for the therapy of congestive heart failure (CHF) in the case of inter- and intraventricular conduction delays. However implantation of CS leads is somewhat challenging due to a high number of peri- or postoperative dislocations at a rate of about 10%. The retained guidewire technique has been proposed for the implantation of coronary sinus leads for stabilization in case of repetitive intraoperative dislocations. This report describes CS lead and guidewire fracture 2 years after such an implant.
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Nägele et al. (2007) conducted a case report in Congestive heart failure (CHF). Retained guidewire technique for coronary sinus lead implantation was evaluated on CS lead and guidewire fracture. The retained guidewire technique for coronary sinus lead implantation was associated with CS lead and guidewire fracture 2 years after the procedure.
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