A randomized evaluation of different approaches to coronary sinus venography during biventricular pacemaker implants

Giuseppe De Martino, Loredana Messsano, Matteo Santamaria, Quintino Parisi, Antonio Dello Russo, Gemma Pelargonio, Tommaso Sanna, Maria Lucia Narducci, Tiziana Chiriaco, Fulvio Bellocci, Paolo Zecchi, Filippo Crea

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Aim. Biventricular implantation procedures require contrast venography of the coronary sinus. The aim of our study was to evaluate the efficacy and safety of contrast venography obtained by direct manual contrast injection into the guiding catheter, compared with venography obtained after occlusion of the coronary sinus by a Swan-Ganz catheter. Methods. Eighty-three patients were randomly assigned to direct or occlusive venography technique. The primary endpoint was complication rate. The secondary endpoints were rate of and time required for an adequate venography, total dose of contrast medium and total procedure time. Results. Four dissections of the coronary sinus were observed with the occlusive venography technique group while no complications were observed with the direct venography technique group (p = 0.04). Rate of adequate venography was similar in the two groups (p = NS). The time needed for coronary sinus venography and the total dose of contrast medium was significantly lower in the direct venography technique group compared with the alternative (p <0.0001 and p = 0.003, respectively); the total procedure time was not significantly different between the two groups (p = NS). Conclusions. The direct venography technique shows a significantly lower incidence of complications and should be considered to be the first line approach to coronary sinus venography during biventricular pacemaker implantation.

Original languageEnglish
Pages (from-to)73-76
Number of pages4
JournalEuropace
Volume7
Issue number1
DOIs
Publication statusPublished - Jan 2005

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Coronary Sinus
Phlebography
Contrast Media
Catheters
Dissection

Keywords

  • Biventricular pacemaker implantation technique
  • Biventricular pacing
  • Cardiac resynchronization therapy
  • Coronary sinus venography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

A randomized evaluation of different approaches to coronary sinus venography during biventricular pacemaker implants. / De Martino, Giuseppe; Messsano, Loredana; Santamaria, Matteo; Parisi, Quintino; Dello Russo, Antonio; Pelargonio, Gemma; Sanna, Tommaso; Narducci, Maria Lucia; Chiriaco, Tiziana; Bellocci, Fulvio; Zecchi, Paolo; Crea, Filippo.

In: Europace, Vol. 7, No. 1, 01.2005, p. 73-76.

Research output: Contribution to journalArticle

De Martino, G, Messsano, L, Santamaria, M, Parisi, Q, Dello Russo, A, Pelargonio, G, Sanna, T, Narducci, ML, Chiriaco, T, Bellocci, F, Zecchi, P & Crea, F 2005, 'A randomized evaluation of different approaches to coronary sinus venography during biventricular pacemaker implants', Europace, vol. 7, no. 1, pp. 73-76. https://doi.org/10.1016/j.eupc.2004.09.006
De Martino, Giuseppe ; Messsano, Loredana ; Santamaria, Matteo ; Parisi, Quintino ; Dello Russo, Antonio ; Pelargonio, Gemma ; Sanna, Tommaso ; Narducci, Maria Lucia ; Chiriaco, Tiziana ; Bellocci, Fulvio ; Zecchi, Paolo ; Crea, Filippo. / A randomized evaluation of different approaches to coronary sinus venography during biventricular pacemaker implants. In: Europace. 2005 ; Vol. 7, No. 1. pp. 73-76.
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AU - Dello Russo, Antonio

AU - Pelargonio, Gemma

AU - Sanna, Tommaso

AU - Narducci, Maria Lucia

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KW - Biventricular pacemaker implantation technique

KW - Biventricular pacing

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