title: Unusual site of permanent pacing: a case report.
abstract: Subclavian route is a standard way of performing a permanent pacemaker. However in cases with superior vena caval or bilateral subclavian occlusion and bilateral infection of pacemaker site, alternative site is warranted. Epicardial route needs general anesthesia and has its own problems. Iliofemoral route has been used previously but has more lead related problems and patient discomfort. Here we are reporting a case in which transiliac pacing was done due to both right and left pacemaker site active infection and to avoid the chance of lead dislodgement, an alpha loop was made in the right atrium.
authors.affiliation: Department Of Cardiology, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110029, India. rakeshyadav123@yahoo.com
authors.forename: Rakesh
authors.initials: R
authors.lastname: Yadav
authors.forename: Sharad
authors.initials: S
authors.lastname: Chandra
authors.forename: Nitish
authors.initials: N
authors.lastname: Naik
authors.forename: Cm
authors.initials: C
authors.lastname: Nagesh
authors.forename: Ss
authors.initials: S
authors.lastname: Kothari