Cardiac defibrillator implantation via persistent left superior vena cava facilitated by a coronary sinus delivery system.
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.
Konstantino
Yuval
Y
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
Kusniec
Jairo
J
Shohat-Zabarski
Ronit
R
Battler
Alexander
A
Strasberg
Boris
B
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*