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Angiographic Anatomy of the Left Coronary Veins: Beyond Conventional Cardiac Resynchronization Therapy

  • Open Access
  • 01-12-2025
  • CSF Drainage
  • Invasive Electrophysiology and Pacing (EK Heist and S Nedios, Section Editors)
Published in:

Abstract

Purpose of Review

This review aims to synthesize current knowledge on the angiographic anatomy of the coronary sinus and its tributaries veins, with focus on venous branches other than classical ones used in cardiac resynchronization therapy. It also presents common anatomical aspects that could impact the clinical outcome.

Recent Findings

Recent advancements in the electrophysiology field, like epicardial arrhythmia mapping and ablation through coronary sinus or cardiac pacing from atypical veins requires a detailed angiographic assessment of cardiac veins. There is an increased interest for the veins coursing in the left ventricular summit (LVS) area and could potentially provide a pathway to reach the LVS arrhythmogenic foci. However, there is no consensus regarding the nomenclature and classification of these veins.

Summary

This review could offer a better understanding of the coronary sinus and its tributary veins distribution, dimensions and relationship with nearby structures that could help the development of new ablation and pacing tools and strategies, with higher success rates.
Title
Angiographic Anatomy of the Left Coronary Veins: Beyond Conventional Cardiac Resynchronization Therapy
Authors
Iulia-Georgiana Zehan
Csilla-Andrea Eötvös
Mădălina Patricia Moldovan
Mihai-Gabriel Andrei
Călina-Patricia Șchiop-Țentea
Roxana Daiana Lazar
Adriana Daniela Sârb
Giorgia Coșeriu
Teodora Avram
Adela Șerban
Gabriel Gușetu
Larisa Diana Mocan-Hognogi
Roxana Chiorescu
Sorin Pop
Edwin Kevin Heist
Dan Blendea
Publication date
01-12-2025
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 1/2025
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-025-02204-z
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Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
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Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME