Indian pacing and electrophysiology journal · 2020
Snare technique for coronary sinus cannulation in cardiac resynchronization therapy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Hofer Daniel, Breitenstein Alexander
Аннотация
PURPOSE: Biventricular pacing is a mainstay of therapy for patients with heart failure. However, lead implantations may fail due to anatomical reasons including the impossibility of coronary sinus cannulation.
METHODS AND RESULTS: A dual approach from the subclavian vein using a snare through a sheath and from the femoral vein using a steerable electrophysiology catheter was performed. Once the snare hooked the catheter, the latter was advanced into the coronary sinus and finally, the sheath could also be advanced in an "over-the-wire" technique.
CONCLUSION: The snare technique for coronary sinus cannulation offers a "bail-out" strategy for left ventricular lead implantation.
METHODS AND RESULTS: A dual approach from the subclavian vein using a snare through a sheath and from the femoral vein using a steerable electrophysiology catheter was performed. Once the snare hooked the catheter, the latter was advanced into the coronary sinus and finally, the sheath could also be advanced in an "over-the-wire" technique.
CONCLUSION: The snare technique for coronary sinus cannulation offers a "bail-out" strategy for left ventricular lead implantation.