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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
11 Pt 1
|
| pubmed:dateCreated |
1995-3-2
|
| pubmed:abstractText |
To minimize procedural and fluoroscopic times and avoid the risks of vascular injury and pneumothorax, some investigators have advocated elimination of routine placement of a coronary sinus (CS) catheter during electrophysiological procedures. We hypothesized that expedient and reproducible CS catheterization could be performed with minimal patient risk by utilizing a femoral vein approach. Fifty consecutive patients referred for radiofrequency ablative procedures underwent attempted CS catheterization using a 6-French steerable, quadripolar catheter via a femoral vein. Procedures were performed utilizing single-plane fluoroscopy without contrast angiographic aid by operators experienced in the technique. Successful catheterization was defined by the attainment, in < 15 minutes, of a stable catheter position with the distal electrode at or beyond the lateral margin of the heart. Successful catheterization of the CS was achieved in 47 (94%) patients. Selective pacing of the left atrium without patient discomfort was possible in all, eliminating the need for a right atrial pacing catheter. The median time to successful catheterization was 1.4 minutes (range 0.3-14.7). Only six patients required > 5 minutes. The median fluoroscopic time required was 1.2 minutes (range 0.3-12.7). No clinical variable was predictive of catheterization failure or time to successful catheterization. No complications were observed as a result of this technique. This prospective evaluation demonstrates that catheterization of the CS via a femoral vein approach is highly successful, expedient, and safe. The ability to selectively pace the left atrium may eliminate the requirement for a right atrial catheter.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Nov
|
| pubmed:issn |
0147-8389
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
17
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1737-40
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:7838781-Adult,
pubmed-meshheading:7838781-Cardiac Pacing, Artificial,
pubmed-meshheading:7838781-Coronary Angiography,
pubmed-meshheading:7838781-Coronary Vessels,
pubmed-meshheading:7838781-Electrodes,
pubmed-meshheading:7838781-Femoral Vein,
pubmed-meshheading:7838781-Fluoroscopy,
pubmed-meshheading:7838781-Heart Catheterization,
pubmed-meshheading:7838781-Humans,
pubmed-meshheading:7838781-Middle Aged,
pubmed-meshheading:7838781-Radiography, Interventional,
pubmed-meshheading:7838781-Veins
|
| pubmed:year |
1994
|
| pubmed:articleTitle |
A technique for rapid transfemoral catheterization of the coronary sinus with multielectrode catheters.
|
| pubmed:affiliation |
Department of Cardiology, Cleveland Clinic Foundation, Ohio 44195.
|
| pubmed:publicationType |
Journal Article
|