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Collateral approach for LV lead implantation in a case with abnormal venous anatomy |
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| Authors: | Harinder K Bali Kapil K Chattree Surinder K Bali Hiteshi KC Chauhan Chandra P Shukla |
| Institution: | 1. Director Cardiology, Dept. of Cardiology, Fortis Hospital, Sector 62, Phase VIII, Mohali 160062, Punjab, India;2. Associate Consultant, Dept. of Cardiology, Fortis Hospital, Mohali 160062, Punjab, India;3. Associate Professor, Dept. of Medicine, Medical College, Jammu, India;4. Dept. of Cardiology, Fortis Hospital, Mohali 160062, Punjab, India |
| Abstract: | A 75-year-old man, 8 years after CABG, with ischemic cardiomyopathy underwent cardiac resynchronization therapy (CRT) for refractory heart failure. Retrograde occlusion venography revealed absence of lateral vein. A functionally occluded middle cardiac vein with branch to anterolateral vein was used for left ventricular lead implantation. Using a collateral route for left ventricular lead implantation is a new technique. Lead position was stable with excellent threshold. Follow-up at 6 months reveals continued stable lead position. |
| Keywords: | Heart failure CRT Coronary sinus Collateral vein |
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