ФИКСАЦИЯ ЛЕВОЖЕЛУДОЧКОВОГО ЭЛЕКТРОДА В ВЕНОЗНОЙ СИСТЕМЕ СЕРДЦА С ПОМОЩЬЮ БИМЕТАЛЛИЧЕСКОГО СТЕНТА ПРИ ИМПЛАНТАЦИИ РЕСИНХРОНИЗИРУЮЩЕГО УСТРОЙСТВА

Приводится клиническое наблюдение 55-летней пациентки с дилятационной кардиомиопатией, у которой в ходе имплантации кардиоресинхронизирующего устройства с функцией дефибрилляции для фиксации левожелудочкового электрода в вене коронарного синуса был использован биметаллический стент.

дилятационная кардиомиопатия, полная блокада левой ножки пучка Гиса, хроническая сердечная недостаточность, кардиоресинхронизирующая терапия, левожелудочковый электрод, коронарный синус, биметаллический стент

1. McAlister FA, Ezekowitz JA, Wiebe N et al. Systematic review: Cardiac resynchronization in patients with symptomatic heart failure. Ann Intern Med 2004; 141: 381-390.

2. Bristow MR, Saxon LA, Boehmer J et al. Comparison of medical therapy, pacing, and defibrillation in heart failure (COMPANION) investigatorsю Cardiac-resynchroni-zation therapy with or without an implantable defibrillator in advanced chronic heart failure. N Engl J Med 2004; 350: 2140-2150.

3. Cleland JG, Daubert JC, Erdmann E et al. Cardiac resyn-chronization-heart failure (CARE-HF) investigators The effect of cardiac resynchronization on morbidity and mortality in heart failure. N Engl JMed 2005; 352: 1539-1549.

4. Strickberger SA, Conti MD, Daoud EG et al. Patient Selection for Cardiac Resynchronization Therapy. Circulation 2005; 11: 2146-2150.

5. Koos R, Sinha AM, Markus K et al. Comparison of left ventricular lead placement via the coronary venous approach versus lateral thoracotomy in patients receiving cardiac resynchronization therapy. Am J Cardiol 2004; 94: 59-63.

6. Van Gelder BM,Meijer A, Basting P et al. Successful implantation of a coronary sinus lead after stenting of a coronary vein stenosis. Pacing Clin Electrophysiol 2003; 26: 1904-1906.

7. Cesario DA, Shenoda M, Brar R, Shivkumar K: Left ventricular lead stabilization utilizing a coronary stent. Pacing Clin Electrophysiol 2006; 29: 427-428.

8. Kowalski O, Pruszkowska-Skrzep P, Lenarczyk R et al. Coronary sinus stenting for the stabilization of left ventricular lead during resynchronization therapy. Europace 2006; 8: 367-370/

9. Morgan JM, Delgado V. Lead positioning for cardiac resynchronization therapy: techniques and priorities. Europace 2009; 11(Suppl 5): v22-28.

10. Merchant FM, Heist EK, McCarty D et al. Impact of segmental left ventricle lead position on cardiac resynchronization therapy outcomes. Heart Rhythm 2010; 7: 639-644.

11. Singh JP, Fan D, Heist EK et al. Left ventricular lead electrical delay predicts response to cardiac resynchronization therapy. Heart Rhythm 2006; 3: 1285-1292.

12. Yu CM, Wing-Hong Fung J, Zhang Q, Sanderson JE. Understanding nonresponders of cardiac resynchronization therapy - current and future perspectives. J Cardiovasc Electrophysiol 2005; 16: 1117-1124.

13. Lau EW. Achieving permanent left ventricular pacing - options and choice. Pacing Clin Electrophysiol 2009; 32: 1466 -1477.

14. Szilagyi S, Merkely B, Roka A, et al. Stabilization of the coronary sinus electrode position with coronary stent implantation to prevent and treat dislocation. J Cardiovasc Electrophysiol 2007; 18: 303-307.

15. Gellér L, Szilagyi S, Zima E et al. Long-term experience with coronary sinus side branch stenting to stabilize left ventricular electrode position. Heart Rhythm, Vol. 8, No 6, June 2011: 845-850.

16. Gurevitz O, Nof E, Carasso S, et al. Programmable multiple pacing configurations help to overcome high left ventricular pacing thresholds and avoid phrenic nerve stimulation. Pacing Clin Electrophysiol 2005; 28: 1255-1259.

17. Schwierz T, Winter S, Pürerfellner H et al. Nervus Phrenicus Stimulation bei biventrikulären Schrittmachern. Chirurg 2007; 78: 1037-1040.

18. van Gelder BM, Meijer A, Basting P et al. Successful implantation of a coronary sinus lead after stenting of a coronary vein stenosis. Pacing Clin Electrophysiol 2003; 26: 1904 -1906.

19. Scott PA, Chantrarat T, Roberts PR, Curzen NP. Percutaneous coronary venous stenting to facilitate placement of a left ventricular lead. Int J Cardiol 2009; 133: e76-78.

20. Gutleben KJ, Nolker G, Marschang H, et al. Res-cue-stenting of an occluded lateral coronary sinus branch for recanalization after dissection during cardiac resynchronization device implantation. Europace 2008; 10: 1442-1444.

21. Balazs T, Merkely B, Bognar E, et al. Methods for examination an explanted left ventricular pacemaker lead stabilized with a coronary stent. Pacing Clin Electrophysiol 2010 Nov 11. doi: 10.1111/j.1540-8159.2010.