Use of a coronary sinus guiding sheath for placement of right ventricular lead in abnormal venous anatomy

a report of 2 cases.

G. Vivek, Ranjan K. Shetty, Umesh M. Pai, Krishnananda Nayak

Research output: Contribution to journalArticle

Abstract

Techniques of implanting pacing leads in the right ventricle (RV) have evolved over time and involve the use of preshaped stylets. However, in the presence of venous abnormalities, it could be very challenging to do the same. We describe two cases with complex superior vena caval (SVC) anatomy which could be negotiated only with the use of a slittable coronary sinus guiding sheath and successful placement of pacing lead in the right ventricle.

Original languageEnglish
JournalBMJ Case Reports
Volume2012
Publication statusPublished - 01-12-2012

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Coronary Sinus
Heart Ventricles
Anatomy
Venae Cavae
Lead

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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abstract = "Techniques of implanting pacing leads in the right ventricle (RV) have evolved over time and involve the use of preshaped stylets. However, in the presence of venous abnormalities, it could be very challenging to do the same. We describe two cases with complex superior vena caval (SVC) anatomy which could be negotiated only with the use of a slittable coronary sinus guiding sheath and successful placement of pacing lead in the right ventricle.",
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N2 - Techniques of implanting pacing leads in the right ventricle (RV) have evolved over time and involve the use of preshaped stylets. However, in the presence of venous abnormalities, it could be very challenging to do the same. We describe two cases with complex superior vena caval (SVC) anatomy which could be negotiated only with the use of a slittable coronary sinus guiding sheath and successful placement of pacing lead in the right ventricle.

AB - Techniques of implanting pacing leads in the right ventricle (RV) have evolved over time and involve the use of preshaped stylets. However, in the presence of venous abnormalities, it could be very challenging to do the same. We describe two cases with complex superior vena caval (SVC) anatomy which could be negotiated only with the use of a slittable coronary sinus guiding sheath and successful placement of pacing lead in the right ventricle.

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