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Cardiac resynchronization therapy (CRT) is still limited by the often sub-optimal response of patients in about 30% of the cases. The lack of response can partly be explained by non-optimal left ventricular (LV) lead locations, which are limited by the accessibility through the coronary veins. Knowledge of the course of the coronary veins prior to the intervention may improve patient selection for CRT. It is the intent of this study to investigate the feasibility of whole-heart coronary vein imaging in heartfailure patients scheduled for CRT for pre-interventional identification of lateral vein candidates for LV lead implantation.

Pre-interventional assessment of the course of the coronary veins in CRT patients