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

• Published in: BMC cardiovascular disorders Vol. 22; no. 1; p. 36
• Main Authors: Bhardwaj, Ravindra, Chaurasia, Amit, Mahajan, Nipun, Dod, Harvinder, Arora, Kuldeep
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 05.02.2022; BioMed Central; BMC
• Subjects: Aged; Anatomy; Anchor balloon; Angioplasty; Balloon treatment; Cardiac Catheterization - methods; Cardiac resynchronization therapy; Cardiac Resynchronization Therapy Devices; Cardiomyopathy; Cardiovascular disease; Care and treatment; Case Report; Catheters; Congestive heart failure; Coronary Vessels - diagnostic imaging; Diagnosis; Ejection fraction; Electrocardiography; Health aspects; Heart failure; Heart Failure - physiopathology; Heart Failure - therapy; Humans; Large coronary sinus; Male; Pacemakers; Patients; Risk factors; Ventricle; Wire; United States; Heart failure; Anchor balloon; Case report; Cardiac resynchronization therapy; Large coronary sinus
• ISSN: 1471-2261; 1471-2261
• DOI: 10.1186/s12872-022-02484-1

Cardiac resynchronization therapy (CRT) is an accepted device treatment in stable heart failure (HF) patients. In recent years increased awareness of coronary anatomy and implantation techniques have significantly impacted this evolving therapy. In this article, we present a case describing the usefulness of the proximal balloon anchoring technique to enable initial coronary sinus (CS) cannulization and left ventricular (LV) lead placement in the tortuous coronary sinus during CRT implantation. The proximal anchor balloon technique can easily enable coronary sinus cannulization and left ventricular lead placement in patients with complex venous anatomy.