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Trans-coronary-venous interventions Siminiak T; Lipiecki JCirc Cardiovasc Interv 2008[Oct]; 1 (2): 134-42The coronary venous system is routinely targeted during electrophysiological measurements or cardiac resynchronization therapy. However, several novel interventional techniques require coronary venous catheterization and visualization as well as transvenous delivery of devices and/or therapeutic agents. Recent reports suggest the possibility of a transvenous approach for the interventional treatment of refractory angina and mitral valve regurgitation. In addition, the coronary venous system has been used as a route for the delivery of stem cells in patients with left ventricular dysfunction due to ischemic heart disease. We review the potential value of using a coronary venous approach in association with recent therapeutic developments in the interventional treatment of structural and ischemic heart disease. We will also discuss techniques related to coronary venous catheterization.|Catheterization, Central Venous/*methods[MESH]|Coronary Vessels/pathology[MESH]|Drug Delivery Systems[MESH]|Electrodiagnosis[MESH]|Humans[MESH]|Mitral Valve Insufficiency/diagnosis/*therapy[MESH]|Myocardial Ischemia/physiopathology/*therapy[MESH]|Prostheses and Implants[MESH]|Stem Cell Transplantation[MESH]|Ventricular Dysfunction, Left/*therapy[MESH] |
