Impact of Using a Telescoping‐Support Catheter System for Left Ventricular Lead Placement on Implant Success and Procedure Time of Cardiac Resynchronization Therapy

Abstract

A CRT-implant approach using contrast injection and a telescoping-support catheter system results in fewer failed LV lead implants, improved LV lead location, and shorter procedure times.

Cardiac Resynchronization Therapy Upgrade in a Patient with Dextrocardia and Situs Inversus Totalis, Facilitated by Coronary Sinus Cannulation with Electrophysiology Catheters from Both Femoral and Axillary Venous Approaches

“…At this point, we used a telescopic approach described by Jackson et al to subselect the target lateral marginal vein. 10 In this approach, we used a 0. …”

Navigating Challenging Left Ventricular Lead Placements for Cardiac Resynchronization Therapy

“…Following this, the application of telescoping sheaths to selectively cannulate smaller branches of the CS can provide additional stability to the CS outer sheath during lead positioning and has been shown to reduce procedural time. 13 A second technique available for difficult CS cannulation is the anchor balloon technique. With this approach, the ostium of the CS is engaged with a small-caliber sheath through which a 0.014-in (0.04-cm) angioplasty wire is advanced into the CS body.…”

Coronary venous angioplasty to facilitate transvenous left ventricular lead placement: A single‐center 13‐year experience

“…Concern over possible complications and/or absence of formalized fellowship training in these modalities are likely explanations for lack of use. The use of a subselecting sheath has previously been shown to improve optimal lead placement 29 and was inconsistent during the course of the analysis due to limited availability earlier in the experience. However, this likely did not affect the success of CVAP, but rather its absence may have increased the incidence of "needing" CVAP.…”