[Coronary sinus reducer : Technical aspects, prevention and management of potential complications].

Ann Cardiol Angeiol (Paris)

Service de cardiologie, Hôpital Foch, 40, rue Worth, 92150 Suresnes, France; Institut Jacques Cartier, Institut cardiovasculaire Paris Sud (ICPS) Ramsay Générale de santé, S 91300 Massy, France; Membre du Collège de Médecine des Hôpitaux de Paris, France.

Published: September 2024

Coronary sinus reducer implantation is a percutaneous technique creating a narrowing in the coronary sinus through the implantation of an hourglass-shaped endoprosthesis. It is proposed to reduce symptoms in patients suffering from refractory angina pectoris. This innovative treatment is experiencing a major craze among interventional cardiologists. It is associated with very high procedural success rates. Complications are rare and include coronary sinus dissection or perforation and migration of the device. This review exposes the device implantation technique, the potential anatomical difficulties, the tips and tricks to overcome challenging situations. It also focuses on the prevention and management of potential complications.

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http://dx.doi.org/10.1016/j.ancard.2024.101785DOI Listing

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