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Fig. 2 | BMC Cardiovascular Disorders

Fig. 2

From: The usefulness of proximal anchor balloon technique during implantation of a cardiac resynchronization therapy device in a patient with complex coronary venous anatomy: a case report

Fig. 2

a (A) LV lead in Coronary Sinus (arrow), (B) While trying to slit the Coronary Sinus delivery catheter, LV lead dislodged (arrow), (C) Double wire (arrowhead) into the posterolateral vein, re-attempting to insert the LV lead (arrow) but LV lead could not be pushed more distally hence 1.5 × 8 mm balloon was used as support on second wire and LV lead could be pushed, (D) While trying to slit off the delivery catheter, LV lead (arrow) got dislodged during the second time again. b (Ea, Eb) LV lead (arrow) positioned more distally, and 2 × 12 mm balloon (arrowhead) inflated just distal to ostium of posterolateral vein, (F) Second ICD RV lead (arrow) was positioned and delivery sheath slit successfully, (G LAO view showing the position of all the leads. Note good separation in RV (arrowhead) and LV leads (arrow)

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BMC Cardiovascular Disorders

ISSN: 1471-2261

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