Against all odds: Targeted pacing site for resynchronization therapy by venoplasty and active fixation lead

In cardiac resynchronization therapy, reaching the target pacing site is essential to achieve optimal therapy. Coronary vein stenosis in the target vein might be an obstacle for lead placement, which can be overcome by venoplasty and stenting of the narrowed segment. Additional active fixation of the left ventricular lead ensures precise location in the target site with minimal risk of lead dislodgment.