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Balloon-facilitated delivery of a left ventricular pacing lead.

作者信息

Elayi Claude S, Whitbeck Matthew G, Morales Gustavo, Gurley John C

机构信息

Gill Heart Institute and Division of Cardiovascular Medicine, University of Kentucky, Lexington, Kentucky 40536-0200, USA.

出版信息

Pacing Clin Electrophysiol. 2013 Feb;36(2):e31-4. doi: 10.1111/j.1540-8159.2010.03019.x. Epub 2011 Jan 28.

DOI:10.1111/j.1540-8159.2010.03019.x
PMID:21276022
Abstract

While modern implant tools have contributed greatly to the success of cardiac resynchronization therapy, technical challenges remain. A common problem is the inability to advance left ventricular pacing leads into branch veins that are tortuous or arise at steep angles. In these cases, advancement of the lead causes it to buckle and prolapse into the coronary sinus or great cardiac vein. Lead prolapsed can be avoided by employing a balloon to temporarily obstruct the coronary sinus or great cardiac vein just upstream from the branch vein. The balloon redirects the force of advancement laterally into the branch vein, facilitating delivery.

摘要

相似文献

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引用本文的文献

1
A novel way to facilitate left ventricular lead implantation: Jailed catheter technique.一种促进左心室导线植入的新方法：锁定导管技术。
J Arrhythm. 2018 Jan 12;34(2):195-197. doi: 10.1002/joa3.12032. eCollection 2018 Apr.