Angiographic Anatomy of the Coronary Sinus and Its Tributaries

Gilard, Martine; Mansourati, Jacques; Étienne, Yves; Larlet, Jean-Marie; Truong, Bernard; Boschat, J; Blanc, Jean‐Jacques

doi:10.1111/j.1540-8159.1998.tb01167.x

Cited by 119 publications

(80 citation statements)

References 7 publications

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“…The great cardiac vein courses along the anterior interventricular groove from the apex to the base and wraps around the left atrioventricular groove posteriorly and connects to the coronary sinus. The coronary sinus ultimately drains into the right atrium (Gensini et al, 1965;Gilard et al, 1998).…”

mentioning

confidence: 99%

Cardiac Vasculature: Development and Pathology

Watanabe¹,

Wikenheiser²,

Ramírez-Bergeron³

et al. 2011

Vasculogenesis and Angiogenesis - From Embryonic Development to Regenerative Medicine

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mentioning

confidence: 99%

Cardiac Vasculature: Development and Pathology

Watanabe¹,

Wikenheiser²,

Ramírez-Bergeron³

et al. 2011

Vasculogenesis and Angiogenesis - From Embryonic Development to Regenerative Medicine

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“…13 The saving in time that has resulted from these innovations is valuable in the light of the large anatomical diVerences in the coronary sinus and its branches from one patient to another. 14 The introduction of new leads has also reduced the number of failures. Smaller diameter leads facilitate coronary vein catheterisation and allow easier passage around tortuous vessels.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, even though the mid-and great cardiac veins are constantly present, no lateral or posterior branches can be found in around 1% of patients. 14 In addition, the diameter of the branches and the angles they make with the coronary sinus also vary between patients, making these vessels hard to access. In figs 3, 4, and 5 we show the anatomical variability of the coronary sinus and branches.…”

Section: Discussionmentioning

confidence: 99%

Aortic recoarctation as the source of arterial embolism 32 years after synthetic patch angioplasty

Vollmann¹

2001

Heart

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Background-Biventricular pacing has been proposed as an adjuvant to optimal medical treatment in patients with drug refractory heart failure caused by chronic left ventricular systolic dysfunction and intraventricular conduction delay. Objective-To assess the technical feasibility and long term results (over six years) of transverse left ventricular pacing with the lead inserted into a tributary vein of the coronary sinus. Subjects-From August 1994 to February 2000, left ventricular lead implantation was attempted in 116 patients who were eligible for biventricular pacing (mean (SD) age 67 (9) years, New York Heart Association (NYHA) functional class III/IV, left ventricular ejection fraction 22 (6)%, QRS duration 185 (26) ms). Results-The overall implantation success rate was 88% (n = 102). A learning curve was indicated by a progressive increase in success from 61% early on to 98% in the last year. The mean pacing threshold was 1.1 (0.7) V/0.5 ms at the time of implantation and increased slightly up to 1.9 (0.9) V/0.5 ms at the end of the follow up period (15 (13) months). The rate of acute and delayed left ventricular lead dislodgement decreased from 30% in the early years to 11% after 1999. During follow up, 19 patients required reoperation for delayed lead dislodgement or increase in left ventricular pacing threshold (n = 15), phrenic nerve stimulation (n = 3), or infection (n = 3). Conclusions-Transverse left ventricular pacing through the coronary sinus is feasible and safe. The rate of implantation failure and of lead related problems has decreased greatly with increasing experience and with improvements in the equipment. (Heart 2001;86:405-410)

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“…Ayrıca koroner sinüs kanülasyonu için sağ atriyumda koroner sinüs ağzı belirlenir. İmplantasyondan önce yapılması işlem süresini kısaltmakta ve başarı oranını artırmaktadır [5][6][7][8]. Sol veya sağ koroner sistemden ayrı görüntüleme yapılabilir.…”

Section: Koroner Sinüs Görüntülenmesiunclassified

Kardiyak resenkronizasyon tedavisinde sol ventrikül elektrodu implantasyon teknikleri

Beton¹,

Tandoğan²

2014

Cumhuriyet Med J

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ÖzetKardiyak resenkronizasyon tedavisi, sol ventrikül elektrodunun arzu edilen lokalizasyona yerleştirilmesi ile mümkün olur. Sol ventrikül elektrodu günümüzde sıklıkla koroner sinüs kanulasyonu yolu ile hedef sol ventrikül bölgesinden köken alan koroner sinüs dalına yerleştirme prensibine dayalı perkütan transvenöz yöntemler ile yapılmaktadır. Sol ventrikül elektrodunun, koroner sinüste hedef dala başarılı bir şekilde yerleştirmek için birçok implantasyon tekniği geliştirlmiştir. Perkütan transvenöz yolun başarısız olduğu durumlarda alternatif implantasyon teknikleri uygulanmaktadır. GirişKardiyak resenkronizasyon tedavisi uygulanabilmesi için genellikle sol ventrikül elektrodu implantasyonu gerekmektedir. Günümüzde, direkt epikardiyal uyarıya (elektrodun cerrahi yerleştirilmesine) kıyasla daha az invaziv işlem olması nedeniyle, sol ventrikül elektrodu yerleştirilmesi işlemi için koroner venöz yaklaşım tercih edilmektedir. Optimal hemodinamik destek, arzu edilen ven lokalizasyonuna ulaşmak ve frenik sinir uyarısına neden olmadan yeterli pace parametreleri elde etmek, başarılı sol ventrikül elektrod implantasyonu işleminin en önemli bileşenleridir. Koroner venöz sistemin çok değişken anatomik yapısının yol açtığı zorluklara rağmen, tecrübeli ellerde koroner venöz sistem kanulasyon yolu ile sol ventrikül elektrod implantasyonu başarı oranı %95

show abstract

Angiographic Anatomy of the Coronary Sinus and Its Tributaries

Abstract: Angiographic analysis of dimensions, tortuosity, number, and angulation of venous tributaries of the CS seems to allow the insertion of commercially available pacing leads in approximately 85% of cases. An increase in this percentage hinges on the development of new, dedicated leads.

Cited by 119 publications

References 7 publications

Cardiac Vasculature: Development and Pathology

Cardiac Vasculature: Development and Pathology

Aortic recoarctation as the source of arterial embolism 32 years after synthetic patch angioplasty

Kardiyak resenkronizasyon tedavisinde sol ventrikül elektrodu implantasyon teknikleri

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