A rare case of left ventricular lead stabilization utilizing a coronary stent placement during CRT-D implantation

Year 2019, Volume: 5 Issue: 2, 407 - 409, 04.03.2019

Deepak Agarwal Aman Makhija Arun Mohanty Raja Ram Mantri

https://doi.org/10.18621/eurj.397159

Abstract

During
cardiac resynchronization therapy implantation, left ventricular lead placement
involves transvenous placement of leads via the coronary sinus and into a
tributary branch. At present, the most widely used
method for left ventricular (LV) lead placement involves a transvenous LV lead
placement via the coronary sinus into a tributary branch. Lead dislodgement
is a common cause for reoperation. We describe a case where a coronary stent
was placed to stabilize the lead against the vessel wall. 

Keywords

Lead dislodgement, CRT, lead stabilization, coronary sinus, dyssynchrony

References

• [1] Bulava A, Lukl J. Single-centre experiencewith coronary sinus lead stability and long-term pacing parameters. Europace 2007;9:523-7.
• [2] Fujii S, Tasaka H, Kawakami T, Mitsudo K, Takenada S. Stent placement to stabilize the left ventricularlead in the coronary sinus. J Arrhythm 2008;24:162-5.
• [3] Cesario DA, Shenoda M, Brar R, Shivkumar K. Left ventricular lead stabilization utilizing a coronary stent. Pacing Clin Electrophysiol 2006;29:427-8.
• [4] Szilagyi S, Merkely B, Roka A, Zima E, Fulop G, Kutyifa V, et al. Stabilization of the coronary sinus electrode position with coronary stent implantation to prevent and treat dislocation. J Cardiovasc Electrophysiol 2007;18:303-7.
• [5] Biffi M, Bertini M, Ziacchi M, Diemberger I, Martignani C, Boriani G. Left ventricular lead stabilization to retain cardiac resynchronization therapy at long term: when is it advisable? Europace 2014;16:533-40.