PMID- 16876731
OWN - NLM
STAT- MEDLINE
DCOM- 20070109
LR  - 20161222
IS  - 1547-5271 (Print)
IS  - 1547-5271 (Linking)
VI  - 3
IP  - 8
DP  - 2006 Aug
TI  - Early human experience with use of a deflectable fiberoptic endocardial 
      visualization catheter to facilitate coronary sinus cannulation.
PG  - 875-8
AB  - BACKGROUND: Despite improvements in cardiac resynchronization therapy (CRT) 
      implantation techniques, a significant minority of CRT attempts are unsuccessful. 
      Inability to cannulate the coronary sinus (CS) because of difficult anatomy is a 
      major reason for unsuccessful CRT implantation. Direct visualization of 
      intracardiac structures during the implant may facilitate access into the CS. The 
      present study describes CRT implantation with the aid of an endocardial 
      visualization catheter (EVC). METHODS: Fifty-eight consecutive patients (mean age 
      72 +/- 12 years; ejection fraction 26.2% +/- 7.0%; New York Heart Association 
      [NYHA] class 2.9) underwent CRT implantation using a steerable fiberoptic EVC 
      (Acumen Medical, Inc., Sunnyvale, CA). RESULTS: The EVC was able to visualize the 
      CS ostium in all cases. The CS was successfully cannulated in 57 (98.3%) of 58 
      patients. The time from vascular access to CS visualization was 6 +/- 5 minutes, 
      and the total time to CS access was 8 +/- 6 minutes. Successful left ventricle 
      (LV) lead implantation was accomplished in 55 (94.8%) of 58 patients. Three 
      patients who had a previous history of failed LV lead implantation were 
      successfully implanted using the EVC. CONCLUSION: Fiberoptic imaging of 
      intracardiac structures during CRT implantation may be performed rapidly in a 
      wide range of patients with an EVC. The ability to visualize right atrial anatomy 
      may aid CS access and LV lead implantation.
FAU - Anh, D J
AU  - Anh DJ
AD  - Cardiac Arrythmia Service, Stanford University Medical Center, California, USA.
FAU - Chen, Henry A
AU  - Chen HA
FAU - Eversull, Christian S
AU  - Eversull CS
FAU - Mourlas, Nicholas J
AU  - Mourlas NJ
FAU - Mead, R Hardwin
AU  - Mead RH
FAU - Liem, L Bing
AU  - Liem LB
FAU - Hsia, Henry H
AU  - Hsia HH
FAU - Wang, Paul J
AU  - Wang PJ
FAU - Al-Ahmad, Amin
AU  - Al-Ahmad A
LA  - eng
PT  - Journal Article
DEP - 20060503
PL  - United States
TA  - Heart Rhythm
JT  - Heart rhythm
JID - 101200317
SB  - IM
CIN - Heart Rhythm. 2006 Aug;3(8):879-80. PMID: 16876732
MH  - Aged
MH  - Aged, 80 and over
MH  - *Angioscopes
MH  - Cardiac Pacing, Artificial
MH  - Catheterization/*instrumentation
MH  - Endocardium/*surgery
MH  - Equipment Design
MH  - Feasibility Studies
MH  - Female
MH  - Heart Conduction System/physiopathology/*surgery
MH  - Heart Failure/physiopathology/*therapy
MH  - Heart Ventricles/physiopathology/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Optics and Photonics/instrumentation
MH  - Reproducibility of Results
MH  - Research Design
MH  - Treatment Outcome
EDAT- 2006/08/01 09:00
MHDA- 2007/01/11 09:00
CRDT- 2006/08/01 09:00
PHST- 2006/03/27 00:00 [received]
PHST- 2006/04/20 00:00 [accepted]
PHST- 2006/08/01 09:00 [pubmed]
PHST- 2007/01/11 09:00 [medline]
PHST- 2006/08/01 09:00 [entrez]
AID - S1547-5271(06)01486-X [pii]
AID - 10.1016/j.hrthm.2006.04.029 [doi]
PST - ppublish
SO  - Heart Rhythm. 2006 Aug;3(8):875-8. doi: 10.1016/j.hrthm.2006.04.029. Epub 2006 
      May 3.