Right Ventricular Electrode Lead Implantation via a Persistent Left Superior Vena Cava: An Improved Technique

Right Ventricular Electrode Lead Implantation via a Persistent Left Superior Vena Cava: An Improved Technique

Persistent left superior vena cava occurs in approximately 0.5% of the population. This may complicate pacemaker implantation by making lead insertion difficult and causing lead instability through the left cephalic vein and the subclavian vein approach. We used a wide loop technique in the right at...

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Veröffentlicht in:Angiology 1997-10, Vol.48 (10), p.919-923
Hauptverfasser: Hsiang Chiang Hsiao, Chi Woon Kong, Jiann Jong Wang, Wan Leong Chan, Shin Pu Wang, Mau Song Chang, Chiang, Benjamin N.
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Aged, 80 and over
Arm - blood supply
Axillary Vein
Biological and medical sciences
Cardiac Catheterization - methods
Diseases of the cardiovascular system
Electrodes, Implanted
Equipment Design
Follow-Up Studies
Heart Atria
Heart Block - therapy
Heart Ventricles
Humans
Male
Medical sciences
Pacemaker, Artificial
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Subclavian Vein
Vena Cava, Superior - abnormalities
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Zusammenfassung:Persistent left superior vena cava occurs in approximately 0.5% of the population. This may complicate pacemaker implantation by making lead insertion difficult and causing lead instability through the left cephalic vein and the subclavian vein approach. We used a wide loop technique in the right atrium and successfully advanced the lead in the right ventricle apex. A persistent left superior vena cava does not preclude successful lead placement.
ISSN:0003-3197
1940-1574
DOI:10.1177/000331979704801010