Balloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapy
Introduction. Cardiac resynchronization therapy (CRT) reduces mortality and hospitalization in patients with symptomatic heart failure and left bundle branch block (LBBB) on optimal drug therapy. Among all, the reasons for “non-response” to CRT pacemaker could be the failure to achieve optimal left...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2021-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84502000061D.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849697449239642112 |
|---|---|
| author | Đurić Predrag Mladenović Zorica Drobnjak Dragan Spasić Marijan Jović Zoran Đurić Ivica Bogdanović Predrag Romanović Radoslav Milašinović Goran |
| author_facet | Đurić Predrag Mladenović Zorica Drobnjak Dragan Spasić Marijan Jović Zoran Đurić Ivica Bogdanović Predrag Romanović Radoslav Milašinović Goran |
| author_sort | Đurić Predrag |
| collection | DOAJ |
| description | Introduction. Cardiac resynchronization therapy (CRT) reduces mortality and hospitalization in patients with symptomatic heart failure and left bundle branch block (LBBB) on optimal drug therapy. Among all, the reasons for “non-response” to CRT pacemaker could be the failure to achieve optimal left ventricular (LV) lead position due to severe curve or stenosis/occlusion of the target vein. Case report. We presented a 79-old-male patient, New York Heart Association (NYHA) class III, with atrial fibrillation, chronic coronary syndrome (CCS), and prior myocardial infarction. The patient underwent coronary artery bypass surgery and mechanical prosthetic aortic valve implantation. He was indicated for CRT. The patient′s venogram revealed ostial/proximal severe curve and stenosis of the posterolateral vein, the only vein of coronary sinus that led to anatomically optimal LV segment for stimulation. After the balloon angioplasty of the curved and stenotic portion of the target vein with compliant balloon 4.0 × 30 mm, a satisfactory and stable position of quadripolar LV lead was achieved. Conclusion. Compliant balloon angioplasty could be a safe and efficient way to override severe coronary vein stenosis in some CRT cases. |
| format | Article |
| id | doaj-art-70ce472b05b74d0fb71299d0b3cd619f |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-70ce472b05b74d0fb71299d0b3cd619f2025-08-20T03:19:12ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202021-01-0178111229123310.2298/VSP200508061D0042-84502000061DBalloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapyĐurić Predrag0Mladenović Zorica1https://orcid.org/0000-0002-4668-3922Drobnjak Dragan2Spasić Marijan3Jović Zoran4Đurić Ivica5Bogdanović Predrag6Romanović Radoslav7Milašinović Goran8Military Medical Academy, Clinic for Cardiology and Urgent Internal Medicine, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaMilitary Medical Academy, Clinic for Cardiology and Urgent Internal Medicine, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaMilitary Medical Academy, Clinic for Cardiology and Urgent Internal Medicine, Belgrade, Serbia Military Medical Academy, Clinic for Cardiology and Urgent Internal Medicine, Belgrade, Serbia Military Medical Academy, Clinic for Cardiology and Urgent Internal Medicine, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaMilitary Medical Academy, Clinic for Cardiology and Urgent Internal Medicine, Belgrade, Serbia Military Medical Academy, Clinic for Cardiology and Urgent Internal Medicine, Belgrade, Serbia Military Medical Academy, Clinic for Cardiology and Urgent Internal Medicine, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaClinical Center of Serbia, Referral Pacemaker Center, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaIntroduction. Cardiac resynchronization therapy (CRT) reduces mortality and hospitalization in patients with symptomatic heart failure and left bundle branch block (LBBB) on optimal drug therapy. Among all, the reasons for “non-response” to CRT pacemaker could be the failure to achieve optimal left ventricular (LV) lead position due to severe curve or stenosis/occlusion of the target vein. Case report. We presented a 79-old-male patient, New York Heart Association (NYHA) class III, with atrial fibrillation, chronic coronary syndrome (CCS), and prior myocardial infarction. The patient underwent coronary artery bypass surgery and mechanical prosthetic aortic valve implantation. He was indicated for CRT. The patient′s venogram revealed ostial/proximal severe curve and stenosis of the posterolateral vein, the only vein of coronary sinus that led to anatomically optimal LV segment for stimulation. After the balloon angioplasty of the curved and stenotic portion of the target vein with compliant balloon 4.0 × 30 mm, a satisfactory and stable position of quadripolar LV lead was achieved. Conclusion. Compliant balloon angioplasty could be a safe and efficient way to override severe coronary vein stenosis in some CRT cases.http://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84502000061D.pdfcardiac resynchronization therapyheart failurecompliant balloonangioplasty |
| spellingShingle | Đurić Predrag Mladenović Zorica Drobnjak Dragan Spasić Marijan Jović Zoran Đurić Ivica Bogdanović Predrag Romanović Radoslav Milašinović Goran Balloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapy Vojnosanitetski Pregled cardiac resynchronization therapy heart failure compliant balloon angioplasty |
| title | Balloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapy |
| title_full | Balloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapy |
| title_fullStr | Balloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapy |
| title_full_unstemmed | Balloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapy |
| title_short | Balloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapy |
| title_sort | balloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapy |
| topic | cardiac resynchronization therapy heart failure compliant balloon angioplasty |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84502000061D.pdf |
| work_keys_str_mv | AT đuricpredrag balloonangioplastyofcardiacveininapatienttreatedbycardiacresynchronizationtherapy AT mladenoviczorica balloonangioplastyofcardiacveininapatienttreatedbycardiacresynchronizationtherapy AT drobnjakdragan balloonangioplastyofcardiacveininapatienttreatedbycardiacresynchronizationtherapy AT spasicmarijan balloonangioplastyofcardiacveininapatienttreatedbycardiacresynchronizationtherapy AT joviczoran balloonangioplastyofcardiacveininapatienttreatedbycardiacresynchronizationtherapy AT đuricivica balloonangioplastyofcardiacveininapatienttreatedbycardiacresynchronizationtherapy AT bogdanovicpredrag balloonangioplastyofcardiacveininapatienttreatedbycardiacresynchronizationtherapy AT romanovicradoslav balloonangioplastyofcardiacveininapatienttreatedbycardiacresynchronizationtherapy AT milasinovicgoran balloonangioplastyofcardiacveininapatienttreatedbycardiacresynchronizationtherapy |