PMID- 21410728
OWN - NLM
STAT- MEDLINE
DCOM- 20130808
LR  - 20130205
IS  - 1540-8159 (Electronic)
IS  - 0147-8389 (Linking)
VI  - 36
IP  - 2
DP  - 2013 Feb
TI  - Retrograde buddy wire technique for coronary sinus lead placement--an approach to 
      overcome coronary vein angulation.
PG  - e41-4
LID - 10.1111/j.1540-8159.2011.03053.x [doi]
AB  - Implantation of a left ventricular pacing lead via the coronary sinus to deliver 
      cardiac resynchronization therapy has become standard therapy for patients with 
      New York Heart Association (NYHA) Class III or IV heart failure and significant 
      intraventricular conduction delay. Biventricular pacing has been shown to provide 
      both symptomatic and mortality benefit in appropriately selected patients. There 
      is significant variability in the anatomy of the coronary sinus and the 
      epicardial coronary venous system. Although a suitable candidate vein may be 
      identified during coronary venography, efforts toward successful guidewire 
      placement or lead placement may be hampered by anatomic obstacles. In this case 
      report, we provide a solution to overcome severe tortuosity encountered at the 
      vein-coronary sinus junction and angulation of the proximal vein. The use of a 
      second coronary sinus sheath and a retrogradely placed guidewire may overcome 
      this anatomic obstacle of vessel tortuosity, when placement by other means has 
      proven unsuccessful.
CI  - (c)2011, The Authors. Journal compilation (c)2011 Wiley Periodicals, Inc.
FAU - Dobesh, David P
AU  - Dobesh DP
AD  - New Jersey Arrhythmia Associates, division of New Jersey Cardiology Associates, 
      West Orange, New Jersey 07052, USA. dpdobesh@gmail.com
FAU - Costeas, Constantinos A
AU  - Costeas CA
FAU - Pamidi, Mandhavi
AU  - Pamidi M
FAU - Roelke, Marc
AU  - Roelke M
FAU - Rubenstein, Donald G
AU  - Rubenstein DG
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20110316
PL  - United States
TA  - Pacing Clin Electrophysiol
JT  - Pacing and clinical electrophysiology : PACE
JID - 7803944
SB  - IM
MH  - Aged
MH  - Coronary Vessels/*surgery
MH  - *Electrodes, Implanted
MH  - Heart Failure/*prevention & control/surgery
MH  - Humans
MH  - Male
MH  - *Pacemaker, Artificial
MH  - Prosthesis Implantation/*instrumentation/*methods
MH  - Treatment Outcome
EDAT- 2011/03/18 06:00
MHDA- 2013/08/09 06:00
CRDT- 2011/03/18 06:00
PHST- 2010/12/06 00:00 [accepted]
PHST- 2010/05/02 00:00 [received]
PHST- 2010/11/28 00:00 [revised]
PHST- 2011/03/18 06:00 [entrez]
PHST- 2011/03/18 06:00 [pubmed]
PHST- 2013/08/09 06:00 [medline]
AID - 10.1111/j.1540-8159.2011.03053.x [doi]
PST - ppublish
SO  - Pacing Clin Electrophysiol. 2013 Feb;36(2):e41-4. doi: 
      10.1111/j.1540-8159.2011.03053.x. Epub 2011 Mar 16.