Skip to main content
SpringerLink
Log in

Left Heart Pacing—Experience with Several Types of Coronary Vein Leads

  • Published:
Journal of Interventional Cardiac Electrophysiology Aims and scope Submit manuscript

Abstract

Our experience with 121 coronary vein (CV) leads in 116 patients shows that CV leads are the leads of choice for pacing the left ventricle (LV). The information gained from pre-operative venous angiography permits individual selection of the most appropriate lead model for each case. The use of steerable electrophysiology catheters facilitates guide catheter cannulation of the coronary sinus (CS) when the anatomy is difficult and reduces the risk of complications. By selecting the CV lead model most suitable for each individual patient, we achieved successful implantation in 99.1% of patients. In this day and age, epicardial electrodes should be restricted to cases with CS anomalies which make CS cannulation impossible, and to LV lead implantation during heart surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Auricchio A, Stellbrink C, Block M, Sack S, Vogt J, Bakker P, Klein H, Kramer A, Ding J, Salo R, Tockman B, Pochet T, Spinelli J. Effect of pacing chamber and atrioventricular delay on acute systolic function of paced patients with congestive heart failure. Circulation 1999; 99: 2993–3001.

    PubMed  Google Scholar 

  2. Gras D, Mabo P, Tang T, Luttikuis O, Chatoor R, Pedersen AK, Tscheliessnigg HH, Deharo JC, Puglisi A, Silvestre J, Kimber S, Ross H, Ravazzi A, Paul V, Skehan D. Multisite pacing as a supplemental treatment of congestive heart failure: preliminary results of the Medtronic Inc. InSync Study. PACE 1998; 21 (11Pt.II): 2249–2255.

    PubMed  Google Scholar 

  3. Kass DA, Chen CH, Curry C, Talbot M, Berger R, Fetics B, Nevo E. Improved left ventricular mechanics from acute VDD pacing in patients with dilated cardiomyopathy and ventricular delay. Circulation 1999; 99: 1567–1573.

    PubMed  Google Scholar 

  4. Stellbrink C, Auricchio A, Diem B, Breithardt OA, Kloss M, Schoendube FA, Klein H, Messmer BJ, Hanrath P. Potential benefit of biventricular pacing in patients with congestive heart failure and ventricular tachyarrhythmia. Am J Cardiol 1999; 83: 143D–150D.

    PubMed  Google Scholar 

  5. Daubert C, Leclercq C, Le Breton H, Gras D, Pavin D, Pouvreau Y, Van Verooij P, Bakels N, Mabo P. Permanent left atrial pacing with specifically designed coronary sinus lead. PACE 1997; 20(11): 2755–2764.

    PubMed  Google Scholar 

  6. Walker S, Levy T, Paul VE. Dissection of the coronary sinus secondary to pacemaker lead manipulation. PACE 2000; 23: 541–543.

    PubMed  Google Scholar 

  7. Vogt J, Lamp B, Meissner A, Hansky B, Schmidt F, Tenderich G, Koerfer R, Horstkotte D. Pre-implant coronary sinus venogram and hemodynamic testing in patients selected for biventricular pacing in congestive heart failure. PACE 2000; 23(4 Pt.II): 657.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Heart Center NRW, Ruhr-University of Bochum, Georgstr. 11, D-32545, Bad Oeynhausen, Germany

    Bert Hansky, Juergen Vogt, Holger Gueldner, Barbara Lamp, Gero Tenderich, Leon Krater, Johannes Heintze, Kazutomo Minami, Dieter Horstkotte & Rainer Koerfer

Authors
  1. Bert Hansky
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Juergen Vogt
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Holger Gueldner
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Barbara Lamp
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Gero Tenderich
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Leon Krater
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Johannes Heintze
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Kazutomo Minami
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Dieter Horstkotte
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Rainer Koerfer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Bert Hansky.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hansky, B., Vogt, J., Gueldner, H. et al. Left Heart Pacing—Experience with Several Types of Coronary Vein Leads. J Interv Card Electrophysiol 6, 71–75 (2002). https://doi.org/10.1023/A:1014140716802

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1014140716802

Search

Navigation