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Coronary Sinus Lead Positioning

Roka, Attila; Borgquist, Rasmus LU and Singh, Jagmeet (2017) In Heart Failure Clinics 13(1). p.79-91
Abstract

Although cardiac resynchronization therapy improves morbidity and mortality in patients with cardiomyopathy, heart failure, and electrical dyssynchrony, the rate of nonresponders using standard indications and implant techniques is still high. Optimal coronary sinus lead positioning is important to increase the chance of successful resynchronization. Patient factors such as cause of heart failure, type of dyssynchrony, scar burden, coronary sinus anatomy, and phrenic nerve capture may affect the efficacy of the therapy. Several modalities are under investigation. Alternative left ventricular lead implantation strategies are occasionally required when the transvenous route is not feasible or would result in a suboptimal lead position.

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author
publishing date
type
Contribution to journal
publication status
published
subject
in
Heart Failure Clinics
volume
13
issue
1
pages
13 pages
publisher
Elsevier Inc.
external identifiers
  • scopus:84996644777
ISSN
1551-7136
DOI
10.1016/j.hfc.2016.07.007
language
English
LU publication?
no
id
1ea536c2-e195-4bcb-b9f9-dab4750d9b9c
date added to LUP
2016-12-15 19:19:22
date last changed
2018-01-07 11:41:09
@article{1ea536c2-e195-4bcb-b9f9-dab4750d9b9c,
  abstract     = {<p>Although cardiac resynchronization therapy improves morbidity and mortality in patients with cardiomyopathy, heart failure, and electrical dyssynchrony, the rate of nonresponders using standard indications and implant techniques is still high. Optimal coronary sinus lead positioning is important to increase the chance of successful resynchronization. Patient factors such as cause of heart failure, type of dyssynchrony, scar burden, coronary sinus anatomy, and phrenic nerve capture may affect the efficacy of the therapy. Several modalities are under investigation. Alternative left ventricular lead implantation strategies are occasionally required when the transvenous route is not feasible or would result in a suboptimal lead position.</p>},
  author       = {Roka, Attila and Borgquist, Rasmus and Singh, Jagmeet},
  issn         = {1551-7136},
  language     = {eng},
  number       = {1},
  pages        = {79--91},
  publisher    = {Elsevier Inc.},
  series       = {Heart Failure Clinics},
  title        = {Coronary Sinus Lead Positioning},
  url          = {http://dx.doi.org/10.1016/j.hfc.2016.07.007},
  volume       = {13},
  year         = {2017},
}