Bosa F et al. - This is a case of CS dissection, produced by the catheter guide, resulting in a venous wall flap which impeded further advancement of the lead. This was treated with prolonged inflation of a coronary angioplasty balloon, which allowed completion of the procedure in the same surgical intervention. This is the first report of the successful use of a coronary angioplasty balloon to resolve this complication of electrode implantation.