Initial Experience of Using an Attain OTW Lead
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Accession number;06A0251090
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| Title;Initial Experience of Using an Attain OTW Lead |
| Author;
MORIKAWA SHUJI
(Ogaki Municipal Hospital, JPN)
SONE TAKAHITO
(Ogaki Municipal Hospital, JPN)
TSUBOI HIDEYUKI
(Ogaki Municipal Hospital, JPN)
MUKAWA HIROAKI
(Ogaki Municipal Hospital, JPN)
MORISHIMA ITSURO
(Ogaki Municipal Hospital, JPN)
SATODA MASAHIKO
(Ogaki Municipal Hospital, JPN)
UESUGI MICHITAKA
(Ogaki Municipal Hospital, JPN)
MORITA YASUHIRO
(Ogaki Municipal Hospital, JPN)
TAKAGI KENSUKE
(Ogaki Municipal Hospital, JPN)
HAYASHI EIJIRO
(Ogaki Municipal Hospital, JPN)
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Journal Title;Ther Res
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Journal Code:Y0681A
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ISSN:0289-8020
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VOL.27;NO.3;PAGE.425-428(2006)
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| Figure&Table&Reference;FIG.2, REF.3 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Although cardiac resynchronization therapy (CRT) has been an important treatment option of severe chronic heart failure, associated with intraventricular conduction delay, several technical difficulties, such as lead insertion to anatomically complex coronary sinus (CS), are still open to a question. We report our three cases of initial experience of using an Attain OTW lead to facilitate lead insertion into CS. In our initial three cases, all diagnosed as DCM, we used 'Balance' hydrocoating wire, a coronary guide wire, to get appropriate lead positioning in CS, however, we were unable to insert it to the distal branch of CS because of complex CS anatomy. To overcome this, another coronary wire, 'WHISPER' polymer jacket wire was used and successfully inserted into the distal branch of CS. It seems very useful to use Whisper wire-assisted Attain OTW lead insertion to distal CS, however, as is the case with polymer-coating coronary guide wire, CS perforation associated with Whisper wire should be avoided with great care. The other point was dislodgement of inserted lead. In two patients, we experienced dislodgement of the lead, requiring re-insertion. Thus, while it is easier to insert lead to distal branch of CS, using Attain OTW lead, dislodgement after the lead insertion should be avoided with great care. (author abst.) |
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