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Left ventricular lead placement within a coronary sinus side branch, using only a floppy guide wire and magnetic navigation
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In a 68 year old male patient with advanced refractory heart failure we engaged both the coronary sinus (CS) os and an appropriate side branch using an external magnet based system (Stereotaxis, St Louis, Missouri, USA) and a modified 0.014 guide wire equipped with a single magnet in the tip (Cronus Floppy Endovascular Guide wire, Stereotaxis). This was done without a sheath in the atrium, after having performed coronary angiography with late phase runs to demonstrate the …