Premium
Focused Force Coronary Venoplasty to Eliminate a Refractory Stenosis Preventing LV Lead Placement in Two Patients
Author(s) -
WORLEY SETH J.,
GOHN DOUGLAS C.,
PULLIAM ROBERT W.
Publication year - 2008
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.1540-8159.2008.01214.x
Subject(s) - medicine , balloon , cardiac resynchronization therapy , angioplasty , cardiology , stenosis , coronary vein , refractory (planetary science) , lead (geology) , balloon dilatation , surgery , heart failure , ejection fraction , coronary sinus , physics , geomorphology , astrobiology , geology
This report describes two patients who underwent a second attempt at cardiac resynchronization therapy (CRT) in the setting of a severe stenosis in the lateral coronary vein that prevented passage of a left ventricular lead. Both stenoses were unresponsive to standard noncompliant balloon dilatation but were successfully treated with the addition of a second stiff angioplasty wire beside the noncompliant balloon. Venoplasty with the addition of a side wire beside the balloon should be considered for resistant coronary vein stenosis encountered during CRT device implantation.