Document Detail


Left ventricular pacing in persistent left superior vena cava: a case series and potential application.
MedLine Citation:
PMID:  23284143     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AIMS: Persistent left superior vena cava (PLSVC) is found in 0.3-2% of the population. Pacemaker implant in PLSVC can be technically challenging. Most operators have hitherto manipulated ventricular leads through the coronary sinus (CS) into the right ventricle (RV). In this case series, we describe the use of standard passive tined ventricular leads implanted into the left ventricular (LV) epicardial veins in PLSVC.METHODS AND RESULTS: Three patients with PLSVC underwent pacemaker implantation for bradycardia. Contrast injection in the dilated CS identified LV coronary veins. Standard passive tined pacing leads were manoeuvred into these branches using hand-shaped stylets without need for additional equipment. Atrial leads were actively fixed to the anterolateral right atrial wall. There were no procedural complications. Chronic ventricular capture threshold at 6 months of follow-up was 1.0 mV@ 0.4 ms.CONCLUSION: Implanting standard leads into the LV veins in PLSVC is safe, effective, and simple without the need for special tools. This is easier than manipulating leads into the RV in PLSVC. Longer-term follow-up and dedicated clinical trials are needed to evaluate the efficacy and safety of this approach.
Authors:
Swee-Chong Seow; Michael F Agbayani; Toon-Wei Lim; Pipin Kojodjojo
Related Documents :
20145593 - Repeat adverse events long after percutaneous coronary revascularization in diabetics.
18432163 - Long-term mortality in patients unsuitable for surgical revascularization undergoing el...
16116873 - Initial clinical experience with a hand-held device (thrombocheck) for the detection of...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-2
Journal Detail:
Title:  Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology     Volume:  -     ISSN:  1532-2092     ISO Abbreviation:  Europace     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Cardiology Department, National University Health System, 1 E Kent Ridge Road, Level 9 NUHS Tower Block, Singapore 119228, Singapore.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  A case series of chronic haemodialysis patients: mortality, sudden death, and QT interval.
Next Document:  Genome-wide association studies in psychiatry: what have we learned?