Left ventricular CRT‐D lead implantation using the retrograde approach following lateral vein balloon angioplasty

Author:

Ciechański Erwin12ORCID,Denysiuk Piotr1ORCID,Ciechański Krystian23ORCID,Chromiński Tomasz1,Szczasny Marcin1,Błaszczak Piotr1,Głowniak Andrzej4ORCID

Affiliation:

1. Department of Cardiology Stefan Cardinal Wyszynski Regional Specialist Hospital Lublin Poland

2. Department of Toxicology Medical University of Lublin Lublin Poland

3. Department of Gastroenterology Stefan Cardinal Wyszynski Regional Specialist Hospital Lublin Poland

4. Department and Clinic of Cardiology Medical University of Lublin Lublin Poland

Abstract

AbstractA 60‐year‐old female with heart failure with reduced left ventricle ejection fraction, implantable cardiac defibrillator and left bundle branch block was admitted to Department of Cardiology for cardiac resynchronization therapy defibrillator upgrade. Due to difficulties with advancement of left ventricular lead to lateral coronary vein, balloon angioplasty with use of retrograde approach via collateral branches and two CS sheaths positioning was performed. Final position of lead in lateral vein was achieved resulting with pacing threshold of 0.7 V/0.5 ms, impedance of 720 Ω and QRS of 130 ms.

Publisher

Wiley

Subject

Cardiology and Cardiovascular Medicine,General Medicine

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