TY - BOOK AU - Worley, Seth J TI - Challenging Implants Require Tools and Techniques Not Tips and Tricks. [Review] SN - 1877-9182 PY - 2019/// KW - *Cardiac Pacing, Artificial KW - *Coronary Sinus/su [Surgery] KW - *Electrodes, Implanted KW - *Prosthesis Implantation KW - Humans KW - Pacemaker, Artificial KW - Prosthesis Implantation/is [Instrumentation] KW - Prosthesis Implantation/mt [Methods] KW - MedStar Heart & Vascular Institute KW - Journal Article KW - Review N2 - Copyright (c) 2018 The Author. Published by Elsevier Inc. All rights reserved; The EP Clinics article "How to implant CRT devices in a busy clinical practice" describes the basics of the "interventional telescoping technique". This article focuses on specific circumstances where the tools and techniques are invaluable: (1) inability to locate the coronary sinus (CS), (2) inability to advance a catheter into the CS, (3) patients with CS atresia, (4) unstable CS access, (4) angulated target veins, (5) small and/or tortuous target veins, (6) target veins into which a wire cannot be advanced, (7) target veins with a drain pipe takeoff, (8) target veins close to the CS ostium UR - https://dx.doi.org/10.1016/j.ccep.2018.11.003 ER -