Grants and other financial support: None.
Balloon-Facilitated Delivery of a Left Ventricular Pacing Lead
Article first published online: 28 JAN 2011
©2011, The Authors. Journal compilation ©2011 Wiley Periodicals, Inc.
Pacing and Clinical Electrophysiology
Volume 36, Issue 2, pages e31–e34, February 2013
How to Cite
ELAYI, C. S., WHITBECK, M. G., MORALES, G. and GURLEY, J. C. (2013), Balloon-Facilitated Delivery of a Left Ventricular Pacing Lead. Pacing and Clinical Electrophysiology, 36: e31–e34. doi: 10.1111/j.1540-8159.2010.03019.x
Relationships with industry: None.
- Issue published online: 4 FEB 2013
- Article first published online: 28 JAN 2011
- Manuscript Accepted: 3 NOV 2010
- Manuscript Revised: 28 OCT 2010
- Manuscript Received: 3 SEP 2010
- cardiac resynchronization therapy;
- biventricular pacing;
- pacing leads;
- left ventricular pacing;
- left ventricular lead;
- cardiac veins;
- coronary sinus
While modern implant tools have contributed greatly to the success of cardiac resynchronization therapy, technical challenges remain. A common problem is the inability to advance left ventricular pacing leads into branch veins that are tortuous or arise at steep angles. In these cases, advancement of the lead causes it to buckle and prolapse into the coronary sinus or great cardiac vein. Lead prolapsed can be avoided by employing a balloon to temporarily obstruct the coronary sinus or great cardiac vein just upstream from the branch vein. The balloon redirects the force of advancement laterally into the branch vein, facilitating delivery. (PACE 2013; 36:e31–e34)