{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:36:07Z","timestamp":1762868167156,"version":"3.37.3"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T00:00:00Z","timestamp":1590537600000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>In cardiac resynchronization therapy, left ventricular (LV) lead placement at the desired position may be difficult due to abnormal coronary sinus (CS) and lateral vein anatomy. We present a case with difficult anatomy in which we used \u2018an indigenous snare\u2019 made from hardware used for coronary angioplasty procedures, which is available in any cardiac catheterization laboratory.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 52-year-old man presented with dyspnoea due to chronic heart failure was evaluated for cardiac resynchronization therapy. The LV lead was difficult to advance into the only target lateral branch of the CS due to a combination of angulation and proximal stenosis. Balloon dilation was tried first, but we failed to track the LV lead. We formed a venovenous loop, advancing the coronary guidewire 0.014\u2033 into the posterolateral vein; subsequently into the middle cardiac vein via a collateral. The wire was advanced into the CS and then to superior vena cava. The guidewire then snared through the same left subclavian vein and exteriorized by using indigenous snare. Over this loop, the LV lead of the cardiac resynchronization therapy with defibrillator device was implanted successfully.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>We have used the snare technique, with the use of a snare prepared from a coronary guidewire. Use of such an indigenous snare has not been described before in the literature. The hardware used in this case is routinely used for coronary angioplasty procedures in all catheterization labs. The importance of our case is that no special hardware like dedicated snare was required to negotiate the LV lead at its desired location.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa114","type":"journal-article","created":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T02:20:07Z","timestamp":1590546007000},"page":"1-7","source":"Crossref","is-referenced-by-count":2,"title":["Successful use of venovenous snare to fix the wire in a collateral vein for proper placement of the left ventricular lead during cardiac resynchronization therapy: a case report"],"prefix":"10.1093","volume":"4","author":[{"given":"Muni Venkatesa","family":"Reddy","sequence":"first","affiliation":[{"name":"Department of Cardiology, Jag Jivan Ram Western Railway Hospital, M M Marg, RBI Staff Colony, Mumbai, 400008 Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0405-7285","authenticated-orcid":false,"given":"Saurabh Ajit","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Jag Jivan Ram Western Railway Hospital, M M Marg, RBI Staff Colony, Mumbai, 400008 Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shishir Kumar","family":"Roul","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Jag Jivan Ram Western Railway Hospital, M M Marg, RBI Staff Colony, Mumbai, 400008 Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9162-4772","authenticated-orcid":false,"given":"Ameya","family":"Udyavar","sequence":"additional","affiliation":[{"name":"Department of Cardiology, P. D. Hinduja Hospital, Mumbai 400016, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,5,26]]},"reference":[{"key":"2020101507145276900_ytaa114-B1","doi-asserted-by":"crossref","first-page":"25","DOI":"10.17925\/EJAE.2015.01.01.25","article-title":"Cardiac resynchronisation therapy: an approach to difficult left ventricular lead placement","volume":"1","author":"Singhal","year":"2015","journal-title":"Eur J Arrhythmia Electrophysiol"},{"key":"2020101507145276900_ytaa114-B2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.jacep.2015.08.009","article-title":"Procedural success of left ventricular lead placement for cardiac resynchronization therapy: a meta-analysis","volume":"2","author":"Gamble","year":"2016","journal-title":"JACC Clin Electrophysiol"},{"key":"2020101507145276900_ytaa114-B3","doi-asserted-by":"crossref","first-page":"D43","DOI":"10.1016\/j.ehjsup.2004.05.010","article-title":"Technical considerations in implanting left ventricular pacing leads for cardiac resynchronization therapy","volume":"6","author":"Stellbrink","year":"2004","journal-title":"Eur Heart J Suppl"},{"key":"2020101507145276900_ytaa114-B4","doi-asserted-by":"crossref","first-page":"157K","DOI":"10.1016\/S0002-9149(00)01299-6","article-title":"Transvenous left ventricular lead implantation with the EASYTRAK lead system: the European experience","volume":"86","author":"Purerfellner","year":"2000","journal-title":"Am J Cardiol"},{"key":"2020101507145276900_ytaa114-B5","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1111\/j.1540-8167.2008.01217.x","article-title":"Implant venoplasty: dilation of subclavian and coronary veins to facilitate device implantation: indications, frequency, methods, and complications","volume":"19","author":"Worley","year":"2008","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2020101507145276900_ytaa114-B6","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1111\/j.1540-8159.2009.02573.x","article-title":"Gooseneck snare for LV lead placement in difficult venous anatomy","volume":"32","author":"Worley","year":"2009","journal-title":"Pacing Clin Electrophysiol"},{"key":"2020101507145276900_ytaa114-B7","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.ccep.2018.11.003","article-title":"Challenging implants require tools and techniques not tips and tricks","volume":"11","author":"Worley","year":"2019","journal-title":"Card Electrophysiol Clin"},{"key":"2020101507145276900_ytaa114-B8","doi-asserted-by":"crossref","first-page":"S212","DOI":"10.1016\/j.ihj.2016.02.023","article-title":"Veno-venous loop through coronary sinus for LV lead placement during cardiac resynchronization therapy","volume":"68","author":"Nath","year":"2016","journal-title":"Indian Heart J"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/4\/1\/33889885\/ytaa114.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/4\/1\/33889885\/ytaa114.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T11:20:14Z","timestamp":1602760814000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/4\/4\/1\/5846245"}},"subtitle":[],"editor":[{"given":"Christian Fielder","family":"Camm","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Rami Riziq Yousef","family":"Abumuaileq","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Jonathan M","family":"Behar","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Christian Fielder","family":"Camm","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Peregrine","family":"Green","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2020,5,26]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,5,26]]},"published-print":{"date-parts":[[2020,8,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaa114","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2020,8]]},"published":{"date-parts":[[2020,5,26]]}}}