scholarly journals What’s in a Name? Utilization of the Innominate Vein for Pacemaker Lead Placement in the Setting of Persistent Left Superior Vena Cava

Cureus ◽  
2017 ◽  
Author(s):  
Mohammad-Ali Jazayeri ◽  
Rehan Karim
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Innominate Vein ◽  
Pacemaker Lead ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Lead Placement

scholarly journals TEMPORARY PACEMAKER LEAD PLACEMENT IN PATIENT WITH PERSISTENT LEFT SUPERIOR VENA CAVA

2011 ◽  
pp. 54-57
Author(s):  
Vladimir Mitov ◽  
Zoran Perišić ◽  
Aleksandar Jolić ◽  
Tomislav Kostić ◽  
Danijela Nikolić ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Pacemaker Lead ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Lead Placement ◽  
Temporary Pacemaker

scholarly journals An alternative approach for endocardial pacemaker lead implantation in patient with persistent left superior vena cava

2010 ◽  
Vol 138 (1-2) ◽  
pp. 85-87
Author(s):  
Vladimir Mitov ◽  
Zoran Perisic ◽  
Tomislav Kostic ◽  
Aleksandar Stojkovic ◽  
Aleksandar Jolic ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Superior Vena ◽  
Vena Cava ◽  
Pacemaker Lead ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Lead Placement ◽  
Alternative Approach ◽  
Endocardial Lead

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.

scholarly journals Successful implantation of a biventricular pacing and defibrillator device via a persistent left superior vena cava

2013 ◽  
Vol 70 (12) ◽  
pp. 1162-1164
Author(s):  
Mihailo Vukmirovic ◽  
Lazar Angelkov ◽  
Filip Vukmirovic ◽  
Irena Tomasevic-Vukmirovic
Keyword(s):  
Heart Failure ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Biventricular Pacing ◽  
Severe Heart Failure ◽  
Vena Cava ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Lead Placement ◽  
The Right

Introduction. Persistent left superior vena cava is the most common thoracic venous abnormality which is usually asymptomatic, found incidentally during pacemaker implantation. The main problem is related to reaching the appropriate pacing site and ensuring stable lead placement. Case report. We reported a successful implantation of a biventricular pacing and defibrillator device (CRT-D) via a persistent left superior vena cava in a 55-year-old man with dilated cardiomyopathy and severe heart failure. A persistent left superior vena cava was detected during CRT-D implantation. We managed to position electrodes in the right ventricular outflow tract, a posterior branch of the coronary sinus and in the right atrium. Conclusion. Congenital anomalies of thoracic veins may complicate lead placement on the appropriate and stable position. The presented case demonstrates a successful biventricular pacing and defibrillator therapy device implantation in a patient with dilated cardiomyopathy and severe heart failure.

scholarly journals A novel technique for right ventricular lead placement in a patient with a persistent left superior vena cava

EP Europace ◽  
2007 ◽  
Vol 9 (3) ◽  
pp. 200-201 ◽  
Author(s):  
Marcos Daccarett ◽  
Rakesh K. Pai ◽  
Moeen Abedin ◽  
Nathan M. Segerson ◽  
Mohamed H. Hamdan
Keyword(s):  
Right Ventricular ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Novel Technique ◽  
Lead Placement ◽  
Ventricular Lead
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