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Successful Placement of Left Ventricular Pacing Lead Despite Coronary Sinus Perforation into the Pericardial Space with an Obstructive Flap
Author(s) -
TAMIN SYAHIDAH SYED,
HUSSIN AZLAN,
IMRAN ZA,
HALMEY NIK,
AZMAN WAN
Publication year - 2007
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2007.00662.x
Subject(s) - medicine , coronary sinus , perforation , cardiology , complication , lead (geology) , lumen (anatomy) , surgery , sinus (botany) , materials science , punching , geomorphology , metallurgy , geology , botany , biology , genus
Coronary sinus perforation is a relatively uncommon but much feared complication that may occur during the placement of left ventricular pacing lead. Coronary sinus perforation, especially in the presence of an obstructive flap, usually indicates the need to abandon the implantation attempt, as there are difficulties in crossing the obstructive flap as well as uncertainty of whether the lead is in the true lumen or into the pericardial space. We describe our experience in successfully placing the left ventricular lead safely despite the problems arising from these circumstances.