Heart on a string: a novel approach to managing difficult access to the left pericardiacophrenic vein for phrenic nerve stimulation
| Autor: | Dennis Lawin, Christoph Stellbrink, Philipp Baumann, Bert Hansky |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Central sleep apnea Polysomnography 030204 cardiovascular system & hematology Inferior vena cava 03 medical and health sciences 0302 clinical medicine Physiology (medical) Internal medicine medicine Humans Phrenic Vein Brachiocephalic vein Aged Brachiocephalic Veins Heart Failure business.industry medicine.disease Sleep Apnea Central Cardiac surgery Phrenic Nerve Catheter medicine.vein Heart failure cardiovascular system Cardiology Cardiology and Cardiovascular Medicine business Lead Placement 030217 neurology & neurosurgery |
| Zdroj: | HerzschrittmachertherapieElektrophysiologie. 29(3) |
| ISSN: | 1435-1544 |
| Popis: | This case highlights the difficulties in pacing lead implantation for transvenous phrenic nerve stimulation to treat central sleep apnea in heart failure. Cannulation of the left pericardiacophrenic vein (PPV) initially failed due to vessel tortuosity. On the basis of sound knowledge of collateral vessels, the inferior phrenic vein (IPV), which drains into the inferior vena cava, was intubated using a guide catheter. A guidewire could be retrogradely advanced via the IPV to the left PPV and brachiocephalic vein. The wire was captured via a snare catheter, such that the heart was held “on a string”, thereby providing adequate support for lead placement. |
| Databáze: | OpenAIRE |
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