PMID- 21542998
OWN - NLM
STAT- MEDLINE
DCOM- 20110930
LR  - 20110505
IS  - 2542-5641 (Electronic)
IS  - 0366-6999 (Linking)
VI  - 124
IP  - 8
DP  - 2011 Apr
TI  - Use of the Attain Select II catheter delivery system to improve.
PG  - 1209-12
AB  - BACKGROUND: Despite technical advances in tools used to facilitate implantation 
      of cardiac resynchronization therapy (CRT) devices, there are many hurdles 
      related mainly to the variation in the anatomy of the coronary veins. One such 
      difficulty is the presence of a very sharply-angulated or tortuous of the lateral 
      or posterolateral cardiac vein. METHODS: Totally 44 patients, 28 males and 16 
      females, with congestive heart failure and intraventricular conduction delay were 
      studied retrospectively. There were 23 patients who had left ventricular (LV) 
      lead implantation using standard techniques and equipment. For the other 21 
      patients with LV lead implantation we used the Attain Select II catheter delivery 
      system. The patients were seen every 3 - 6 months for 12 months and the efficacy 
      of the primary procedure, LV lead implantation time, procedure and fluoroscopy 
      time and the complications associated with the two techniques were evaluated. 
      RESULTS: There were no significant differences in the age, gender, New York Heart 
      Association (NYHA) functional class, ischemic etiology, QRS duration, left 
      ventricular ejection fraction, left ventricular end-diastolic diameter, left 
      ventricular end-systolic diameter and LV dyssynchrony between the two groups. The 
      LV lead implantation time, procedure time and fluoroscopy time were significantly 
      shorter in the group using the Attain Select II catheter delivery system; LV lead 
      implantation time from (51 +/- 7) minutes to (40 +/- 7) minutes (P < 0.001), 
      procedure time from (143 +/- 17) minutes to (124 +/- 18) minutes (P = 0.001), and 
      fluoroscopy time from (45 +/- 7) minutes to (35 +/- 6) minutes (P < 0.001). A 
      successful procedure of LV lead implantation was significantly improved from 
      17/23 (74%) patients using the standard techniques and equipment, to 20/21 
      (95.3%) patients using the Attain Select II catheter delivery system (P = 0.06) 
      CONCLUSION: It is feasible and safe to implant LV leads through the coronary 
      sinus using the Attain Select II catheter delivery system.
FAU - Zhou, Xian-hui
AU  - Zhou XH
AD  - Heart Center, First Affiliated Hospital, Xinjiang Medical University, Urumqi, 
      Xinjiang, China.
FAU - Tang, Bao-peng
AU  - Tang BP
FAU - Li, Jin-xin
AU  - Li JX
FAU - Zhang, Yu
AU  - Zhang Y
FAU - Zhang, Jiang-hua
AU  - Zhang JH
FAU - Li, Yao-dong
AU  - Li YD
LA  - eng
PT  - Journal Article
PL  - China
TA  - Chin Med J (Engl)
JT  - Chinese medical journal
JID - 7513795
SB  - IM
MH  - Aged
MH  - Cardiac Resynchronization Therapy/*methods
MH  - Female
MH  - Heart Failure/therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Ventricular Dysfunction, Left/therapy
EDAT- 2011/05/06 06:00
MHDA- 2011/10/01 06:00
CRDT- 2011/05/06 06:00
PHST- 2011/05/06 06:00 [entrez]
PHST- 2011/05/06 06:00 [pubmed]
PHST- 2011/10/01 06:00 [medline]
PST - ppublish
SO  - Chin Med J (Engl). 2011 Apr;124(8):1209-12.