{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T16:12:05Z","timestamp":1698682325926},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,3,20]],"date-time":"2012-03-20T00:00:00Z","timestamp":1332201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:p>We report identification of a prominent Thebesian valve by cardiovascular computed tomography (CT) angiography impeding cannulation of the coronary sinus, with subsequent successful coronary venous lead placement with cannulation of the coronary sinus ostium via a transvenous femoral vein approach and subsequent cannulation of the ostium with the coronary venous lead with a left subclavian approach. A 57\u2010year\u2010old man with nonischemic dilated cardiomyopathy, New York Heart Association Class III heart failure, left bundle branch block, and an ejection fraction of 15%, underwent an attempted cardiac resynchronization therapy implantable cardiac defibrillator (ICD). As the coronary sinus ostium could not be cannulated, a dual chamber ICD was placed. The patient subsequently underwent cardiovascular CT angiography, which identified a prominent Thebesian valve at the coronary sinus ostium as the anatomic obstacle to cannulation. Reattempted transvenous cardiac resynchronization therapy was accomplished successfully with a double cannulation approach: cannulation of the coronary sinus ostium with a catheter via a transvenous femoral vein approach and subsequent cannulation with the coronary venous lead via a left subclavian approach. When a prominent Thebesian valve is identified as an obstacle to transvenous left ventricular lead placement, cannulation of the coronary sinus by an alternate venous approach may allow for a coronary venous route rather than necessitate an epicardial approach.<\/jats:p>","DOI":"10.1111\/j.1540-8159.2012.03362.x","type":"journal-article","created":{"date-parts":[[2012,3,22]],"date-time":"2012-03-22T01:27:52Z","timestamp":1332379672000},"source":"Crossref","is-referenced-by-count":6,"title":["Cardiac Resynchronization Therapy: Double Cannulation Approach to Coronary Venous Lead Placement via a Prominent Thebesian Valve"],"prefix":"10.1111","volume":"36","author":[{"given":"MICHAEL","family":"CAO","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine\/Cardiovascular Thoracic Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PHILIP","family":"CHANG","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine\/Cardiovascular Thoracic Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BONNIE","family":"GARON","sequence":"additional","affiliation":[{"name":"Department of Radiology Keck School of Medicine at the University of Southern California  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JEROLD S.","family":"SHINBANE","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine\/Cardiovascular Thoracic Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,3,20]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(88)90080-4"},{"key":"e_1_2_5_3_1","first-page":"703","volume-title":"Gray H. 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