title: Cardiac defibrillator implantation via persistent left superior vena cava facilitated by a coronary sinus delivery system.
abstract: Persistent left superior vena cava (PLSVC) is a benign vascular anomaly that complicates pacemaker or implantable cardioverter defibrillator (ICD) lead implantation. Thus far, right ventricular lead implantation via PLSVC has been mostly accomplished by forming a U-shaped stylet, necessitating considerable manoeuvring depending on the heart size and geometry. In this article we report a technique of ICD lead implantation via PLSVC, using a coronary sinus delivery system as used today in cardiac resynchronization therapy.
authors.affiliation: Department of Cardiology, Rabin Medical Center, Petah-Tikva and Sackler School of Medicine, Tel-Aviv University, Campus Beilinson, 39 Jabotinsky St., 49100 Petah-Tikva, Israel. ykonstan@bidmc.harvard.edu
authors.forename: Yuval
authors.initials: Y
authors.lastname: Konstantino
authors.forename: Jairo
authors.initials: J
authors.lastname: Kusniec
authors.forename: Ronit
authors.initials: R
authors.lastname: Shohat-Zabarski
authors.forename: Alexander
authors.initials: A
authors.lastname: Battler
authors.forename: Boris
authors.initials: B
authors.lastname: Strasberg
mesh_terms: D000368:Aged; D054326:Coronary Sinus / Q000002:abnormalities* / Q000601:surgery*; D017147:Defibrillators, Implantable; D006333:Heart Failure / Q000150:complications* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation / Q000379:methods*; D016896:Treatment Outcome; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000601:surgery*