Document Detail

Biventricular pacing exclusively via a persistent left-sided superior vena cava: case report.
MedLine Citation:
PMID:  12710327     Owner:  NLM     Status:  MEDLINE    
Biventricular pacing in association with a persistent left-sided superior vena cava is technically challenging. The presence of an associated innominate vein enables a conventional approach via the right atrium for coronary sinus intubation and left ventricular lead placement. In its absence, the coronary sinus lead must be positioned exclusively via the left-sided superior vena cava. The acute angulation of the branch ostia encountered when catheterizing the coronary sinus "downstream" makes this difficult, but with the use of preshaped cardiac catheters and over-the-wire pacing leads selective intubation of a left ventricular vein is possible.
Rebecca E Lane; Anthony W C Chow; Jamil Mayet; D Wyn Davies
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  26     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-04-24     Completed Date:  2003-07-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  640-2     Citation Subset:  IM    
St. Mary's Hospital, Imperial College School of Medicine, London, United Kingdom.
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MeSH Terms
Cardiac Pacing, Artificial / methods*
Heart Catheterization
Pacemaker, Artificial*
Vena Cava, Superior / abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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