Implantation of a biventricular pacing and defibrillator device via a persistent left superior vena cava

被引:9
作者
Kapetanopoulos, Athanasios [1 ]
Peckham, Gene [1 ]
Kiernan, Francis [1 ]
Clyne, Christopher [1 ]
Kluger, Jeffrey [1 ]
Migeed, Magdy A. [1 ]
机构
[1] Univ Connecticut, Sch Med, Hartford Hosp, Farmington, CT USA
关键词
congenital heart disease; congestive heart failure; defibrillation; pacemaker;
D O I
10.2459/01.JCM.0000228695.14902.4c
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A persistent left superior vena cava was discovered in a 66-year-old man with heart failure undergoing implantation of a biventricular pacing and defibrillator device. An active fixation right ventricular defibrillator lead was placed through a curved guiding catheter. A sub-selection catheter and a guidewire allowed the engagement of a posterior-lateral branch of the coronary sinus, performance of an angiogram without an occlusive balloon, and optimal lead placement. The right atrial lead was positioned using a standard stylet. Despite the technical challenges, implantation of a biventricular pacing and defibrillator device via a persistent left superior vena cava is safe and feasible. J Cardiovasc Med 7:430-433 (C) 2006 Italian Federation of Cardiology.
引用
收藏
页码:430 / 433
页数:4
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