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...

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Autores principales:	Đurić Predrag, Mladenović Zorica, Drobnjak Dragan, Spasić Marijan, Jović Zoran, Đurić Ivica, Bogdanović Predrag, Romanović Radoslav, Milašinović Goran
Formato:	article
Lenguaje:	EN SR
Publicado:	Military Health Department, Ministry of Defance, Serbia 2021
Materias:	cardiac resynchronization therapy heart failure compliant balloon angioplasty Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/70ce472b05b74d0fb71299d0b3cd619f
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spelling	oai:doaj.org-article:70ce472b05b74d0fb71299d0b3cd619f2021-12-01T13:00:25ZBalloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapy0042-84502406-072010.2298/VSP200508061Dhttps://doaj.org/article/70ce472b05b74d0fb71299d0b3cd619f2021-01-01T00:00:00Zhttp://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84502000061D.pdfhttps://doaj.org/toc/0042-8450https://doaj.org/toc/2406-0720Introduction. 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.Đurić PredragMladenović ZoricaDrobnjak DraganSpasić MarijanJović ZoranĐurić IvicaBogdanović PredragRomanović RadoslavMilašinović GoranMilitary Health Department, Ministry of Defance, Serbiaarticlecardiac resynchronization therapyheart failurecompliant balloonangioplastyMedicine (General)R5-920ENSRVojnosanitetski Pregled, Vol 78, Iss 11, Pp 1229-1233 (2021)
institution	DOAJ
collection	DOAJ
language	EN SR
topic	cardiac resynchronization therapy heart failure compliant balloon angioplasty Medicine (General) R5-920
spellingShingle	cardiac resynchronization therapy heart failure compliant balloon angioplasty Medicine (General) R5-920 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
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
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
title	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_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_sort	balloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapy
publisher	Military Health Department, Ministry of Defance, Serbia
publishDate	2021
url	https://doaj.org/article/70ce472b05b74d0fb71299d0b3cd619f
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Balloon angioplasty of cardiac vein in a patient treated by cardiac resynchronization therapy

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