[Technical aspects of coronary sinus catheterization based on the atrial component of the intracavitary electrogram and radiological anatomy during the implantation procedure of a biventricular pacemaker].

Abstract:

OBJECTIVE:To present a technical proposal based on the experience of 130 implantations using a simplified technique for coronary sinus catheterization, based on the atrial component of the intracavitary electrogram and radiological anatomy. METHODS:From October, 2001 to October, 2004, 130 biventricular pacemaker implantations were performed, using radiological anatomy and observation of the intracavitary electrogram, focusing on the atrial component. RESULTS:The implantation of the system using left ventricular pacing via coronary sinus was not possible in 8 patients. Difficulties on the cannulation of the coronary ostium were felt in 12 patients and difficulties of lead advancement through the coronary sinus were felt in 15 patients. The mean time of radioscopy utilization was 18.69 min. CONCLUSION:The implantation technique, using the atrial component morphology of the intracavitary electrogram and radiological anatomy showed to be workless, safe and effective for the cannulation of the coronary sinus ostium requesting reduced time of radioscopy.

journal_name

Arq Bras Cardiol

authors

Souza FS,Mortati NL,Braile DM,Vieira RW,Rojas SO,Rabelo AC,Souza JM,Oliveira SA

doi

10.1590/s0066-782x2006000400005

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

261-7

issue

4

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2006000400005

journal_volume

86

pub_type

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