An Innovation in Pacemaker Lead Implantation via Persistent Left Superior Vena Cava: The “3D Alpha Curve” Stylet

2017 ◽  
Vol 40 (9) ◽  
pp. 1042-1044
Author(s):  
JAHANGIR RASHID BEIG ◽  
MOHD. IQBAL DAR ◽  
NISAR A. TRAMBOO ◽  
IMRAN HAFEEZ ◽  
AJAZ A. LONE ◽  
...  
2011 ◽  
pp. 54-57
Author(s):  
Vladimir Mitov ◽  
Zoran Perišić ◽  
Aleksandar Jolić ◽  
Tomislav Kostić ◽  
Danijela Nikolić ◽  
...  

2010 ◽  
Vol 138 (1-2) ◽  
pp. 85-87
Author(s):  
Vladimir Mitov ◽  
Zoran Perisic ◽  
Tomislav Kostic ◽  
Aleksandar Stojkovic ◽  
Aleksandar Jolic ◽  
...  

Introduction. Persistent left superior vena cava represents a congenital vascular defect of the venous system, which often makes standard 58 cm endocardial lead placement impossible. Case Outline. A right chamber approach by the left cephalic vein was tried. This was impossible because standard endocardial lead (SJM Isoflex S 1646T, bipolar lead, 58 cm in length, body diameter 7 French) was too short for this patient. A unipolar lead for coronary sinus (Medtronic ATTEIN 4193-88), 88 cm in length, body diameter 4 French, was placed in the posterior branch of the coronary sinus. With such positioning of the lead, a VVI pacemaker pacing was enabled. The operation lasted for 48 minutes, and the time of total X-ray exposure was 9.6 minutes. The values that were achieved were: threshold 0.3 V, pulse width 0.37 ms, maximum R 22.55 mV. Ten months after the implantation, the values were: thresh- old 0.3 V, maximum R 28.8 mV. Conclusion. Persistent left superior vena cava in some cases makes standard 58 cm endocardial lead placement impossible due to its joining to the right atrium over the dilated coronary sinus. Coronary sinus lead placement in the posterior or lateral coronary sinus branch represents an acceptable alternative approach for pacemaker lead placement in these patients.


2020 ◽  
Vol 7 (5) ◽  
pp. 130-132
Author(s):  
José Aderval Aragão ◽  
Iapunira Catarina Sant’Anna Aragão ◽  
Felipe Matheus Sant’Anna Aragão ◽  
Paôla Cardoso ◽  
Fernanda Pimentel Cavaliere de Barros ◽  
...  

Choonpa Igaku ◽  
2018 ◽  
Vol 45 (5) ◽  
pp. 507-508
Author(s):  
Toshiya OKAJIMA ◽  
Kayoko FUJIWARA ◽  
Yuka TAKENAKA ◽  
Katsuhiro KOBAYASHI

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110155
Author(s):  
Jayalaxmi Shripati Aihole

Persistent left superior vena cava (PLSVC) is the most frequent abnormality in the general population with the frequency of 0.1% to 0.5%. It results from the failure of the involution of the left anterior cardinal vein. Right and Left SVC can coexist together in 80% to 90% of cases. Association of PLSVC with ano rectal malformation (ARM) is very rarely reported. Hence, here is a report of a unique case of PLSVC in a female neonate with ARM


Sign in / Sign up

Export Citation Format

Share Document