Successful Placement of Left Ventricular Pacing Lead Despite Coronary Sinus Perforation into the Pericardial Space with an Obstructive Flap
Article first published online: 28 FEB 2007
Pacing and Clinical Electrophysiology
Volume 30, Issue 2, pages 276–279, February 2007
How to Cite
TAMIN, S. S., HUSSIN, A., IMRAN, Z., HALMEY, N. and AZMAN, W. (2007), Successful Placement of Left Ventricular Pacing Lead Despite Coronary Sinus Perforation into the Pericardial Space with an Obstructive Flap. Pacing and Clinical Electrophysiology, 30: 276–279. doi: 10.1111/j.1540-8159.2007.00662.x
- Issue published online: 28 FEB 2007
- Article first published online: 28 FEB 2007
- Received April 18, 2006; revised May 30, 2006; accepted June 5, 2006.
- coronary sinus perforation
Coronary sinus perforation is a relatively uncommon but much feared complication that may occur during the placement of left ventricular pacing lead. Coronary sinus perforation, especially in the presence of an obstructive flap, usually indicates the need to abandon the implantation attempt, as there are difficulties in crossing the obstructive flap as well as uncertainty of whether the lead is in the true lumen or into the pericardial space. We describe our experience in successfully placing the left ventricular lead safely despite the problems arising from these circumstances.