Open AccessWhat is the most appropriate method for coronary sinus cannulation? The telescopic method or the electrophysiologic method?
Author(s) -
Hakan Güneş,
Ekrem Aksu,
Hüseyin Nacar,
Murat Kerkütlüoğlu,
Handan Güneş,
Sami Özgül
Publication year - 2018
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0203534
Subject(s) - coronary sinus , medicine , fluoroscopy , coronary angiography , catheter , cardiac catheterization , angiography , cardiac resynchronization therapy , retrospective cohort study , cardiology , radiology , surgery , heart failure , myocardial infarction , ejection fraction
Objectives The most challenging stage of cardiac resynchronization therapy (CRT) is coronary sinus cannulation (CS). The aim of this study was to compare coronary sinus cannulation techniques using electrophysiology catheters and coronary angiography catheters. Methods In this observational, retrospective and non-randomized study, 87 patients who were eligible for CRT device implantation were screened at Kahramanmaras Sutcu Imam University Hospital between March 2014 and March 2018. Seventy-two patients who met the inclusion criteria were enrolled in the study. The study population was divided into 2 groups: the first group consisted of 36 patients whose coronary sinuses were cannulated via electrophysiology (EP) catheters and the second group included 36 patients who received coronary angiography catheters for coronary sinus cannulation. Results The two groups were similar in terms of the baseline characteristics of the patients. The total fluoroscopy time was less with cannulation using coronary angiography catheters. There were no differences between the two groups in terms of the amount of contrast material and the success of the operations. Conclusions Coronary sinus catheterization using coronary angiography catheters significantly reduces fluoroscopy time in patients undergoing CRT.