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Related Concept Videos

Coronary Circulation01:21

Coronary Circulation

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The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
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Cardiac Catheterization II: Right Heart Catheterization01:21

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Cardiac Catheterization III: Left Heart Catheterization01:24

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
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Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

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Coronary Sinus Lead Extraction.

Edmond M Cronin1, Bruce L Wilkoff2

  • 1Division of Cardiology, Hartford Hospital, 80 Seymour Street PO Box 5037, Hartford CT 06102, USA.

Cardiac Electrophysiology Clinics
|November 25, 2015
PubMed
Summary
This summary is machine-generated.

Coronary sinus (CS) lead extraction is increasingly needed due to expanded cardiac resynchronization therapy uses and device infections. Success rates are comparable to other leads, but unique challenges require tailored approaches.

Keywords:
Cardiac resynchronization therapyCoronary sinusLead extraction

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Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Device Extraction

Background:

  • Expanded indications for cardiac resynchronization therapy (CRT) increase the need for CRT device implantation.
  • Increasing incidence of cardiac implantable electronic device (CIED) infections necessitates effective CIED management strategies.
  • The coronary sinus (CS) presents unique anatomical challenges for lead extraction procedures.

Purpose of the Study:

  • To review the indications, techniques, and outcomes of coronary sinus (CS) lead extraction.
  • To highlight the specific anatomical challenges associated with CS lead extraction.
  • To compare CS lead extraction outcomes with those of other lead extraction procedures.

Main Methods:

  • Review of current literature on CS lead extraction indications, techniques, and results.
  • Analysis of published success rates and complication profiles for CS lead extraction.
  • Discussion of training, facility requirements, and re-implantation considerations for CS lead extraction.

Main Results:

  • Published success rates and complication rates for CS lead extraction are similar to those reported for other lead types.
  • Successful CS lead extraction may require the use of multiple extraction techniques due to anatomical complexity.
  • Re-implantation options following CS lead extraction can be limited and require careful pre-procedural planning.

Conclusions:

  • CS lead extraction is a viable and necessary procedure with outcomes comparable to other lead extractions.
  • The unique anatomy of the CS necessitates specialized techniques and considerations for successful lead extraction.
  • Pre-procedural assessment of re-implantation options is crucial for patients undergoing CS lead extraction.