Coronary sinus cannulation with a steerable catheter during biventricular device implantation.
(2014) In Scandinavian Cardiovascular Journal 48(1). p.41-46- Abstract
- Abstract Objectives. To determine whether a steerable catheter with electrogram guidance (CS-assist group) could facilitate access to the coronary sinus (CS) during cardiac resynchronization therapy (CRT) implantation. Design. Consecutive patients who underwent CRT implantation were recruited prospectively into the CS-assist group (n = 81) and compared with those using conventional techniques without an electrogram guidance (conventional group, n = 101). Results. The CS cannulation success rate was clearly greater in the CS-assist group (100%) than that in the conventional group (95%, p < 0.05), with significantly shorter mean procedure time (52.6 ± 20.6 min vs. 73.2 ± 40.9 min, p < 0.01) and fluoroscopy time (3.6 ± 3.2 min vs. 14.2... (More)
- Abstract Objectives. To determine whether a steerable catheter with electrogram guidance (CS-assist group) could facilitate access to the coronary sinus (CS) during cardiac resynchronization therapy (CRT) implantation. Design. Consecutive patients who underwent CRT implantation were recruited prospectively into the CS-assist group (n = 81) and compared with those using conventional techniques without an electrogram guidance (conventional group, n = 101). Results. The CS cannulation success rate was clearly greater in the CS-assist group (100%) than that in the conventional group (95%, p < 0.05), with significantly shorter mean procedure time (52.6 ± 20.6 min vs. 73.2 ± 40.9 min, p < 0.01) and fluoroscopy time (3.6 ± 3.2 min vs. 14.2 ± 20.4 min, p < 0.01). In the five CS cannulation failure cases, mean procedure time (144.0 ± 37.0 min) and fluoroscopy time (57.8 ± 24.8 min) were significantly longer than those in the other patients (61.2 ± 32.3 and 8.2 ± 13.6 min, respectively, n = 177, both p < 0.01). Conclusions. Using the steerable catheter with real-time electrogram guidance, location of and access to the CS is more rapid and successful, which may improve the success of the CRT implantation and may give significant time savings. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4291297
- author
- Wang, Lingwei LU ; Yuan, Shiwen LU ; Borgquist, Rasmus LU ; Höijer, Carl Johan LU and Brandt, Johan LU
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Cardiovascular Journal
- volume
- 48
- issue
- 1
- pages
- 41 - 46
- publisher
- Taylor & Francis
- external identifiers
-
- pmid:24432887
- wos:000330849500007
- scopus:84893332829
- ISSN
- 1651-2006
- DOI
- 10.3109/14017431.2013.875623
- language
- English
- LU publication?
- yes
- id
- 23feed08-64d4-452c-9825-c34a7856d8e5 (old id 4291297)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/24432887?dopt=Abstract
- date added to LUP
- 2016-04-01 10:09:12
- date last changed
- 2022-03-12 02:39:03
@article{23feed08-64d4-452c-9825-c34a7856d8e5, abstract = {{Abstract Objectives. To determine whether a steerable catheter with electrogram guidance (CS-assist group) could facilitate access to the coronary sinus (CS) during cardiac resynchronization therapy (CRT) implantation. Design. Consecutive patients who underwent CRT implantation were recruited prospectively into the CS-assist group (n = 81) and compared with those using conventional techniques without an electrogram guidance (conventional group, n = 101). Results. The CS cannulation success rate was clearly greater in the CS-assist group (100%) than that in the conventional group (95%, p < 0.05), with significantly shorter mean procedure time (52.6 ± 20.6 min vs. 73.2 ± 40.9 min, p < 0.01) and fluoroscopy time (3.6 ± 3.2 min vs. 14.2 ± 20.4 min, p < 0.01). In the five CS cannulation failure cases, mean procedure time (144.0 ± 37.0 min) and fluoroscopy time (57.8 ± 24.8 min) were significantly longer than those in the other patients (61.2 ± 32.3 and 8.2 ± 13.6 min, respectively, n = 177, both p < 0.01). Conclusions. Using the steerable catheter with real-time electrogram guidance, location of and access to the CS is more rapid and successful, which may improve the success of the CRT implantation and may give significant time savings.}}, author = {{Wang, Lingwei and Yuan, Shiwen and Borgquist, Rasmus and Höijer, Carl Johan and Brandt, Johan}}, issn = {{1651-2006}}, language = {{eng}}, number = {{1}}, pages = {{41--46}}, publisher = {{Taylor & Francis}}, series = {{Scandinavian Cardiovascular Journal}}, title = {{Coronary sinus cannulation with a steerable catheter during biventricular device implantation.}}, url = {{http://dx.doi.org/10.3109/14017431.2013.875623}}, doi = {{10.3109/14017431.2013.875623}}, volume = {{48}}, year = {{2014}}, }