How to use balloons as anchors to facilitate cannulation of the coronary sinus left ventricular lead placement and to regain lost coronary sinus or target vein access

      Coronary venous anatomy can make successful implantation of a cardiac resynchronization therapy device difficult or impossible. Venogram and coronary balloons can be used as anchors to facilitate initial coronary sinus (CS) cannulation and left ventricular lead placement and to recover lost CS and target vein access.


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        • Kowalski O.
        • Lenarczyk R.
        • Prokopczuk J.
        • et al.
        Effects of percutaneous interventions within the coronary sinus on the success rate of the implantations of resynchronization pacemakers.
        Pacing Clin Electrophysiol. 2006; 29: 1075-1080
        • Worley S.J.
        Implant venoplasty: dilatation of subclavian and coronary veins to facilitate device implantation: indications, frequency, methods, and complications.
        J Cardiovasc Electrophysiol. 2008; 19: 1004-1007
        • Worley S.J.
        • Ellenbogen K.A.
        Application of interventional procedures adapted for device implantation: new opportunities for device implanters.
        Pacing Clin Electrophysiol. 2007; 30: 938-941
        • Worley S.J.
        • Gohn D.C.
        • Pulliam R.W.
        Coronary vein rupture during venoplasty for LV lead placement.
        Pacing Clin Electrophysiol. 2008; 31: 904-907