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Case Reports
Published online: 2019-06-17
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Tiger Diagnostic Catheter-Facilitated coronary sinus cannulation (Mother-in child system) and implantation of Left ventricular lead during cardiac resynchronization therapy system

Santosh Kumar Sinha, Mahmodula Razi, Kumar Himanshu, Puneet Aggarwal, Vinay Krishna
DOI: 10.5603/FC.a2019.0052

open access

Ahead of print
Case Reports
Published online: 2019-06-17

Abstract

Cardiac resynchronization therapy (CRT) device implantation is hampered by difficult placement of the left ventricular (LV) lead. Here we report a case of 68-year old male who presented with heart failure having New York Heart Association (NYHA) class III. He was hospitalized with ventricular tachycardia which was restored to normal rhythm by cardioversion. Electrocardiogram revealed normal sinus rhythm, and complete left bundle branch block (LBBB) with prolonged QRS complex duration (198ms). Echocardiogram showed dilated left atrium, and ventricle with severe left ventricular (LV) systolic dysfunction (ejection fraction= 35%). Coronary sinus cannulation was failed with conventional technique, steerable electrophysiology (EP) catheters, and other guiding catheters. CS was successfully cannulated with the help of Tiger Diagnostic Catheter (Terumo, Japan) using mother-in child system and LV lead was implanted into desired territory, thus completing the procedure.

Abstract

Cardiac resynchronization therapy (CRT) device implantation is hampered by difficult placement of the left ventricular (LV) lead. Here we report a case of 68-year old male who presented with heart failure having New York Heart Association (NYHA) class III. He was hospitalized with ventricular tachycardia which was restored to normal rhythm by cardioversion. Electrocardiogram revealed normal sinus rhythm, and complete left bundle branch block (LBBB) with prolonged QRS complex duration (198ms). Echocardiogram showed dilated left atrium, and ventricle with severe left ventricular (LV) systolic dysfunction (ejection fraction= 35%). Coronary sinus cannulation was failed with conventional technique, steerable electrophysiology (EP) catheters, and other guiding catheters. CS was successfully cannulated with the help of Tiger Diagnostic Catheter (Terumo, Japan) using mother-in child system and LV lead was implanted into desired territory, thus completing the procedure.

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Keywords

Cardiac resynchronization therapy; Coronary sinus; Electrophysiology catheters; Tiger Diagnostic Catheter; Mother-in child system.

About this article
Title

Tiger Diagnostic Catheter-Facilitated coronary sinus cannulation (Mother-in child system) and implantation of Left ventricular lead during cardiac resynchronization therapy system

Journal

Folia Cardiologica

Issue

Ahead of print

Published online

2019-06-17

DOI

10.5603/FC.a2019.0052

Keywords

Cardiac resynchronization therapy
Coronary sinus
Electrophysiology catheters
Tiger Diagnostic Catheter
Mother-in child system.

Authors

Santosh Kumar Sinha
Mahmodula Razi
Kumar Himanshu
Puneet Aggarwal
Vinay Krishna

References (8)
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