Reconstruction of the Terminal of an Abandoned Fractured Unipolar Coronary Sinus Lead: a Feasible Solution to Restore Effective Cardiac Resynchronization Therapy
Complications related to coronary sinus lead are not infrequent in recipients of cardiac resynchronization devices. We describe the case of a patient with a biventricular implantable cardioverter defibrillator with persistent phrenic nerve stimulation, previous coronary sinus lead fracture, and seve...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2013-05-01
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| Series: | Indian Pacing and Electrophysiology Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0972629216306301 |
| _version_ | 1811274375623606272 |
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| author | Armando Gardini, MD Francesco Fracassi, MD Alberto Saporetti, MD Davide Mariggio |
| author_facet | Armando Gardini, MD Francesco Fracassi, MD Alberto Saporetti, MD Davide Mariggio |
| author_sort | Armando Gardini, MD |
| collection | DOAJ |
| description | Complications related to coronary sinus lead are not infrequent in recipients of cardiac resynchronization devices. We describe the case of a patient with a biventricular implantable cardioverter defibrillator with persistent phrenic nerve stimulation, previous coronary sinus lead fracture, and severe left subclavian vein stenosis. The reimplantation of a new coronary sinus lead on the left side, ipsilateral to the original implant, was unsuccessful. In order to avoid more complex and risky procedures, we performed the repair of the fractured abandoned lead with the reconstruction of the unipolar lead terminal. Effective biventricular pacing was obtained with satisfactory electrical parameters and it was maintained at twelve months follow-up. |
| first_indexed | 2024-04-12T23:17:53Z |
| format | Article |
| id | doaj.art-0fc54ba5d5214313bd0e1383704cefef |
| institution | Directory Open Access Journal |
| issn | 0972-6292 |
| language | English |
| last_indexed | 2024-04-12T23:17:53Z |
| publishDate | 2013-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Pacing and Electrophysiology Journal |
| spelling | doaj.art-0fc54ba5d5214313bd0e1383704cefef2022-12-22T03:12:37ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922013-05-0113312212510.1016/S0972-6292(16)30630-1Reconstruction of the Terminal of an Abandoned Fractured Unipolar Coronary Sinus Lead: a Feasible Solution to Restore Effective Cardiac Resynchronization TherapyArmando Gardini, MD0Francesco Fracassi, MD1Alberto Saporetti, MD2Davide Mariggio3Department of Cardiology, Istituto Clinico S. Rocco, Ome (Brescia, Italy)Department of Cardiology, Istituto Clinico S. Rocco, Ome (Brescia, Italy)Department of Cardiology, Istituto Clinico S. Rocco, Ome (Brescia, Italy)Medtronic Italia, Sesto S. Giovanni (Milano, Italy)Complications related to coronary sinus lead are not infrequent in recipients of cardiac resynchronization devices. We describe the case of a patient with a biventricular implantable cardioverter defibrillator with persistent phrenic nerve stimulation, previous coronary sinus lead fracture, and severe left subclavian vein stenosis. The reimplantation of a new coronary sinus lead on the left side, ipsilateral to the original implant, was unsuccessful. In order to avoid more complex and risky procedures, we performed the repair of the fractured abandoned lead with the reconstruction of the unipolar lead terminal. Effective biventricular pacing was obtained with satisfactory electrical parameters and it was maintained at twelve months follow-up.http://www.sciencedirect.com/science/article/pii/S0972629216306301lead fracturecardiac resynchronisation therapylead repairvenous obstruction |
| spellingShingle | Armando Gardini, MD Francesco Fracassi, MD Alberto Saporetti, MD Davide Mariggio Reconstruction of the Terminal of an Abandoned Fractured Unipolar Coronary Sinus Lead: a Feasible Solution to Restore Effective Cardiac Resynchronization Therapy Indian Pacing and Electrophysiology Journal lead fracture cardiac resynchronisation therapy lead repair venous obstruction |
| title | Reconstruction of the Terminal of an Abandoned Fractured Unipolar Coronary Sinus Lead: a Feasible Solution to Restore Effective Cardiac Resynchronization Therapy |
| title_full | Reconstruction of the Terminal of an Abandoned Fractured Unipolar Coronary Sinus Lead: a Feasible Solution to Restore Effective Cardiac Resynchronization Therapy |
| title_fullStr | Reconstruction of the Terminal of an Abandoned Fractured Unipolar Coronary Sinus Lead: a Feasible Solution to Restore Effective Cardiac Resynchronization Therapy |
| title_full_unstemmed | Reconstruction of the Terminal of an Abandoned Fractured Unipolar Coronary Sinus Lead: a Feasible Solution to Restore Effective Cardiac Resynchronization Therapy |
| title_short | Reconstruction of the Terminal of an Abandoned Fractured Unipolar Coronary Sinus Lead: a Feasible Solution to Restore Effective Cardiac Resynchronization Therapy |
| title_sort | reconstruction of the terminal of an abandoned fractured unipolar coronary sinus lead a feasible solution to restore effective cardiac resynchronization therapy |
| topic | lead fracture cardiac resynchronisation therapy lead repair venous obstruction |
| url | http://www.sciencedirect.com/science/article/pii/S0972629216306301 |
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