A guide catheter assembly for accessing lateral branch veins of the
coronary sinus includes a guide catheter and a pacing lead. The guide
catheter has a central lumen therethrough, a proximal end and a distal
end pre-formed with a guide curve. The pacing lead is slidably receivable
within the guide catheter lumen. The pacing lead has a proximal end and a
distal end formed with a first curve and a second curve extending
proximally from the first curve. The second curve is adapted to mate with
the guide curve to direct the first curve into a selected branch vein of
the coronary sinus. The second curve may be pre-formed in the pacing
lead, or may be imparted to the pacing lead via a stylet or inner
catheter.