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Europace Advance Access originally published online on July 18, 2007
Europace 2007 9(10):878-879; doi:10.1093/europace/eum146
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© The European Society of Cardiology 2007. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

CARDIAC RESYNCHRONISATION THERAPY

A novel technique for placement of coronary sinus pacing leads in cardiac resynchronization therapy

Demosthenes G. Katritsis*

Department of Cardiology, Athens Euroclinic, 9 Athanassiadou Street, Athens 11521, Greece

A new technique for the placement of left ventricular pacing leads in the tributaries of the coronary sinus (CS) is described. Antegrade visualization of the CS is accomplished by selective coronary angiography, and a hydrophilic 0.032 in. wire is advanced along the CS. This facilitates the advancement of a CS sheath over a multipurpose diagnostic catheter. A hydrophilic angioplasty wire is then utilized for the negotiation of the inferior left ventricular vein and successful placement of the left ventricular pacing lead.

Key Words: Coronary sinus, Left ventricular pacing, Resynchronization

* Corresponding author. Tel: +30 210 6416600; fax: +30 210 6416661. E-mail address: dkatritsis{at}euroclinic.gr/ dgkatr{at}otenet.gr

Manuscript submitted 17 May 2007. Accepted after revision 22 June 2007.


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