A New Technique to Allow Placement of Left Ventricular Lead in an Inferiorly Directed Take-Off of a Coronary Sinus Tributary

  • Sumit Verma


Placement of a left ventricular lead can be particularly difficult if the take-off of the coronary sinus target vein is at an acute angle to the body of the coronary sinus. There are previously described techniques that are not applicable to all patients. This is a new technique that assists in Coronary sinus lead placement in a patient with difficult anatomy.


coronary sinus left ventricular lead biventricular pacing implantation techniques 


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  1. 1.
    Kautzner J, Riedlbauchova L, Cihak R, Bytesnik J, Vancura V. Technical aspects of implantation of LV lead for cardiac resynchronization therapy in chronic heart failure. Pacing Clin Electrophysiol. 2004;27(6 Pt 1):783–790.CrossRefPubMedGoogle Scholar
  2. 2.
    De Martino G, Sanna T, Russo AD, Pelargonio G, Messano L, Ierardi C, Gabrielli D, Parisi Q, Zecchi P, Bellocci F, Crea F. A randomized comparison of alternative techniques to achieve coronary sinus cannulation during biventricular implantation procedures. J Interv Card Electrophysiol 2004;10(3):227–230.Google Scholar
  3. 3.
    Butter C, Gras D, Ritter P, Stellbrink C, Fleck E, Tockman B, Schubert B, Pochet T, deVoogt W. Comparative prospective randomized efficacy testing of different guiding catheters for coronary sinus cannulation in heart failure patients. J Interv Card Electrophysiol 2003;9(3):343–351.Google Scholar
  4. 4.
    Worley S, Leon A, Wilkoff B. Anatomy and Implantation techniques for Biventricular devices. In Device Therapy for Congestive Heart Failure. Ellenbogen, Kay, Wilkoff. Saunders Publisher.Google Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Pensacola Heart InstitutePensacola

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