Focused force coronary venoplasty to eliminate a refractory stenosis preventing LV lead placement in two patients.

Pacing Clin Electrophysiol

Advanced Implant Program, The Heart Center, and The Lancaster Heart and Stroke Foundation, Lancaster General Hospital, Lancaster, Pennsylvania, USA.

Published: November 2008

This report describes two patients who underwent a second attempt at cardiac resynchronization therapy (CRT) in the setting of a severe stenosis in the lateral coronary vein that prevented passage of a left ventricular lead. Both stenoses were unresponsive to standard noncompliant balloon dilatation but were successfully treated with the addition of a second stiff angioplasty wire beside the noncompliant balloon. Venoplasty with the addition of a side wire beside the balloon should be considered for resistant coronary vein stenosis encountered during CRT device implantation.

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http://dx.doi.org/10.1111/j.1540-8159.2008.01214.xDOI Listing

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