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Journals / Türk Kardiyoloji Derneği Arşivi / 2012 / Cilt: 40 - Sayı: 3

Femoral vein guidance for pipe-shaped coronary sinus cannulation and epicardial left ventricular lead placement using left subclavian vein approach

Pipo şeklindeki koroner sinüsün kanülasyonu için femoral ven kılavuzluğu ve sol subklavyen ven yaklaşımı ile sol ventrikül elektrodunun epikardiyal yerleştirilmesi

Uğur CANPOLAT
Levent ŞAHİNER
Ali OTO
Kudret AYDEMİR
Pages
251–254
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We describe a practical method for guidance of transfemoral route for pipe-shaped CS cannulation and epicardial placement of LV lead with superior approach.

📌 3 Key Takeaways

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Objective & Hypothesis:Variations in coronary sinus (CS) anatomy can make subclavian vein approach difficult or even impos- sible for LV lead delivery.
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Key Findings & Data:A 52 year-old male patient with ischemic dilated cardiomyopathy (LVEF: 15%, QRS: 160 msec) who was symptomatic under opti- mal medical therapy was hospitalized for implantation of cardiac resynchronization therapy.
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Conclusion & Impact:We describe a practical method for guidance of transfemoral route for pipe-shaped CS cannulation and epicardial placement of LV lead with superior approach.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Variations in coronary sinus (CS) anatomy can make subclavian vein approach difficult or even impos- sible for LV lead delivery. A combination of interventional and electrophysiological methods is therefore the state of art technique for implantation of LV leads. A 52 year-old male patient with ischemic dilated cardiomyopathy (LVEF: 15%, QRS: 160 msec) who was symptomatic under opti- mal medical therapy was hospitalized for implantation of cardiac resynchronization therapy. Although right ven- tricular and atrial electrodes were implanted successfully, we had difficulty during placement of the left ventricular electrode. There was an anatomical variation in CS with a piped shape, which prevented cannulation from the supe- rior approach. We describe a practical method for guidance of transfemoral route for pipe-shaped CS cannulation and epicardial placement of LV lead with superior approach.

Özet

Koroner sinüs (KS) anatomisindeki çeşitlilik sol ventrikül (SV) elektrodunun subklavyen ven yaklaşımı ile yerleştirilmesini zorlaştırabilir ya da imkansız hale getirebilir. Girişimsel ve elektrofizyolojik yöntemlerin birlikte kullanımı SV elektrodunun yerleştirilmesinde kullanılan en yeni tekniklerdir. İskemik dilate kardiyomiyopatisi (SVEF: %15, QRS: 160 msn) bulunan 52 yaşında erkek hasta, uygun ilaç tedavisine rağmen semptomatik olduğu için kardiyak resenkronizasyon tedavisi uygulanmak amacıyla hastaneye yatırıldı. Sağ ventrikül ve atriyal elektrodlar başarılı bir şekilde yerleştirildi, SV elektrodunun yerleştirilmesinde güçlük yaşandı. KSnin pipo şeklindeki anatomik varyasyonu nedeniyle subklavyen ven yoluyla kanülasyonu rutin teknikle yapılamadı. Bu yazıda, pipo şeklindeki KSnin transfemoral yöntem kılavuzluğunda kanülasyonu ve elektrodun subklavyen yaklaşımla epikardiyal olarak yerleştirildiği olgu sunuldu.

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Cite This Article

CANPOLAT, U., ŞAHİNER, L., OTO, A., AYDEMİR, K. (2022). Femoral vein guidance for pipe-shaped coronary sinus cannulation and epicardial left ventricular lead placement using left subclavian vein approach. Türk Kardiyoloji Derneği Arşivi, Cilt: 40 - Sayı: 3, 251–254. https://ajindex.com/articles/633073

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