Abstract
Coronary sinus stenting for stabilizing a difficult quadripolar left ventricular lead
Highlights
A 56-year-old male presented with a history of dyspnea on exertion New York Heart Association (NYHA) class 3 for the last 2 years
Catheters were removed without any left ventricular (LV) lead dislodgement and there was no diaphragmatic stimulation
He was under regular follow up with improved symptoms (NYHA class 1) and acceptable LV lead parameters of threshold and impedance of 1.5 V/0.4 ms, 900Ω respectively after 12 months
Summary
A 56-year-old male presented with a history of dyspnea on exertion New York Heart Association (NYHA) class 3 for the last 2 years. He was planned for CRT insertion because of refractory symptoms on optimal medical treatment. A quadripolar LV lead (ACUITYTM X4 Spiral L, Boston Scientific) was placed in the distal part of the posterolateral branch.
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