Against all odds: Targeted pacing site for resynchronization therapy by venoplasty and active fixation lead

Indian Heart J. 2015 Nov-Dec;67(6):574-6. doi: 10.1016/j.ihj.2015.09.007. Epub 2015 Oct 26.

Abstract

In cardiac resynchronization therapy, reaching the target pacing site is essential to achieve optimal therapy. Coronary vein stenosis in the target vein might be an obstacle for lead placement, which can be overcome by venoplasty and stenting of the narrowed segment. Additional active fixation of the left ventricular lead ensures precise location in the target site with minimal risk of lead dislodgment.

Keywords: Left ventricular active fixation lead; Targeted lead placement; Venoplasty.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Bundle-Branch Block / diagnosis
  • Bundle-Branch Block / physiopathology
  • Bundle-Branch Block / therapy*
  • Electrocardiography
  • Follow-Up Studies
  • Heart Rate / physiology
  • Heart Ventricles / physiopathology*
  • Humans
  • Male
  • Middle Aged
  • Pacemaker, Artificial*
  • Ventricular Remodeling / physiology*