[Choice of the surgical approach for implantation of a left ventricular lead by the data of prolonged coronaroangiography].

Effectiveness of prolonged coronarography was assessed for investigation of venous heart anatomy with reference to etiology of the disease and heart chamber sizes. It was shown that lesions of the coronary arteries and morphometrical indices of the heart did not influence the heart venous anatomy. A detailed analysis of patients with ischemic heart disease and anamnesis of myocardial infarction has revealed the absence of the heart vein in the zone of old myocardial infarction. At the preoperative stage the placement of a cardiac resyncronising device the integration of data of EchoKG, prolonged coronaroangiography and others allows determination of the possible surgical method of placing the lead to the left ventricle of the heart. The algorithm of the method of decision on the placement of the left ventricular lead has been developed, investigated and introduced into clinical practice.