Cesario David A, Shenoda Michael, Brar Ramandeep, Shivkumar Kalyanam
UCLA Cardiac Arrhythmia Center, Department of Medicine, Division of Cardiology, David Geffen School of Medicine at UCLA, Los Angeles, California 90095, USA.
Pacing Clin Electrophysiol. 2006 Apr;29(4):427-8. doi: 10.1111/j.1540-8159.2006.00365.x.
Cardiac resynchronization therapy has been recently demonstrated to have a mortality and morbidity benefit in heart failure (HF) patients with cardiac dyssynchrony. Currently, the most widely used method of left ventricular (LV) lead placement involves transvenous placement of leads via the coronary sinus (CS) and into a tributary branch. Lead dislodgement is a common cause for reoperation, and continues to be a common problem despite advances in equipment and operator techniques. We describe a case where a coronary stent was placed in a lateral branch of the CS to stabilize the lead against the vessel wall.
心脏再同步治疗最近已被证明对患有心脏不同步的心力衰竭（HF）患者有降低死亡率和发病率的益处。目前，左心室（LV）导线放置最广泛使用的方法是经静脉通过冠状窦（CS）将导线放置到一个分支中。导线脱位是再次手术的常见原因，尽管设备和操作者技术有所进步，但仍然是一个常见问题。我们描述了一例在CS的一个侧支中放置冠状动脉支架以将导线固定在血管壁上的病例。
