Khurshid Ahmed1, Muhammad Munawar2, Dian Andina Munawar1, Beny Hartono1, Vito Damay1. 1. Binawaluya Cardiac Center, 13750 Jakarta, Indonesia. 2. Binawaluya Cardiac Center, 13750 Jakarta, Indonesia Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, 10430 Jakarta, Indonesia muna@cbn.net.id.
Abstract
AIMS: Ideal positioning of left ventricular (LV) pacing lead in cardiac resynchronization therapy (CRT) is technically demanding. This case aims to place LV lead in anterolateral branch of coronary sinus (CS) using collateral route blindly. METHODS AND RESULTS: Externalization via the CS ostium using collaterals retrogrogradely, which was not visible in initial balloon occlusion venography, through one delivery sheath with the support of commonly used micro-guide catheter and subsequent successful LV lead placement in anterolateral branch of CS. CONCLUSION: This innovative retrograde approach for LV pacing lead implantation in anterolateral branch of CS obviated the need for snare technique to capture the distal end of the wire when antegrade route was not successful. Published on behalf of the European Society of Cardiology. All rights reserved.
AIMS: Ideal positioning of left ventricular (LV) pacing lead in cardiac resynchronization therapy (CRT) is technically demanding. This case aims to place LV lead in anterolateral branch of coronary sinus (CS) using collateral route blindly. METHODS AND RESULTS: Externalization via the CS ostium using collaterals retrogrogradely, which was not visible in initial balloon occlusion venography, through one delivery sheath with the support of commonly used micro-guide catheter and subsequent successful LV lead placement in anterolateral branch of CS. CONCLUSION: This innovative retrograde approach for LV pacing lead implantation in anterolateral branch of CS obviated the need for snare technique to capture the distal end of the wire when antegrade route was not successful. Published on behalf of the European Society of Cardiology. All rights reserved.