Coronary vein balloon angioplasty forleft ventricular pacemaker lead implantation

Abstract

Coronary vein angioplasty is an effective and safe technique to permit transvenous left ventricular pacing lead insertion in cases of target vein stenoses or insufficient target vein caliber.

Percutaneous coronary venous stenting to facilitate placement of a left ventricular lead

“…There have been 7 published case reports describing the successful use of percutaneous balloon venoplasty to enable left ventricular lead placement in 15 patients [2][3][4][5][6][7][8] and it is becoming a standard technique in patients with unfavourable venous anatomy [1].…”

Efficacy of Coronary Venoplasty for Left Ventricular Lead Implantation

“…5 Balloon angioplasty for coronary vein stenosis and successful insertion of a LV lead without complication has been reported previously in a small number of cases. 5,6 Difficulty with insertion was not anticipated based on coronary venography in any of the 4 cases reported here, suggesting that preoperative coronary venography alone may be insufficient for indication of venoplasty.…”

Coronary venous angioplasty to a ring- like stricture preventing left ventricular lead insertion

“…The incidence of venous stenosis has been reported to be approximately 2-3.5% (3,(5)(6)(7). Venous stenosis may be due to scarring from myocardial infarction, coronary artery bypass graft surgery, previous implantation of venous leads, or ring like strictures (5,6).…”

“…Venous stenosis may be due to scarring from myocardial infarction, coronary artery bypass graft surgery, previous implantation of venous leads, or ring like strictures (5,6). Although venous angioplasty is considered to be safe and effective method to overcome venous stenosis, serious complications may ensue such as Therefore, close hemodynamic monitoring and control echocardiography should be done whenever coronary venous angioplasty is performed.…”