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 atrium and successfully advanced the lead in the right ventricle apex. A persistent left superior vena cava does not preclude successful lead placement.
Hsiao
H C
HC
Department of Medicine, Veterans General Hospital, Taipei, Taiwan, R.O.C.
Kong
C W
CW
Wang
J J
JJ
Chan
W L
WL
Wang
S P
SP
Chang
M S
MS
Chiang
B N
BN
D000368:Aged; D000369:Aged, 80 and over; D001132:Arm / Q000098:blood supply; D001367:Axillary Vein; D006328:Cardiac Catheterization / Q000379:methods; D004567:Electrodes, Implanted; D004867:Equipment Design; D005500:Follow-Up Studies; D006325:Heart Atria; D006327:Heart Block / Q000628:therapy; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D013350:Subclavian Vein; D014683:Vena Cava, Superior / Q000002:abnormalities*