title: Inadvertent identification of the left pericardiophrenic vein following laser lead extraction to guide left ventricular lead placement.
abstract: Phrenic nerve stimulation (PNS) is a frequent occurrence in patients implanted with a cardiac resynchronization therapy device. We present a case where identification of the left pericardiophrenic vein, which runs alongside the phrenic nerve, was used to guide left ventricular lead placement in order to minimize the risk of PNS.
authors: Guys and St Thomas' NHS Trust, Cardiothoracic Centre, London, UK. senthilk1uk@yahoo.co.uk
authors: S
authors: S
authors: Kirubakaran
authors: A K
authors: AK
authors: Shetty
authors: C A
authors: CA
authors: Rinaldi
mesh_terms: D059925:Anatomic Landmarks / Q000000981:diagnostic imaging*; D058406:Cardiac Resynchronization Therapy / Q000009:adverse effects / Q000379:methods*; D004567:Electrodes, Implanted / Q000009:adverse effects; D006350:Heart Valve Prosthesis; D006801:Humans; D007834:Lasers; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000628:therapy*; D010690:Phlebography; D010791:Phrenic Nerve / Q000033:anatomy & histology*; D019919:Prosthesis Implantation / Q000379:methods; D014262:Tricuspid Valve Insufficiency / Q000601:surgery; D014680:Veins / Q000033:anatomy & histology*