Right Ventricular Electrode Lead Implantation via a Persistent Left Superior Vena Cava

Author:

Hsiang Chiang Hsiao ,Chi Woon Kong ,Jiann Jong Wang ,Wan Leong Chan ,Shin Pu Wang ,Mau Song Chang ,Chiang Benjamin N.,Chi Woon Kong 1

Affiliation:

1. Veterans General Hospital-Taipei 201 Sec 2, Shin-Pai Road Taipei, Taiwan, R.O.C.

Abstract

Persistent left superior vena cava occurs in approximately 0.5% of the population. This may complicate pacemaker implantation by making lead insertion difficult and causing lead instability through the left cephalic vein and the subclavian vein approach. We used a wide loop technique in the right atrium and successfully advanced the lead in the right ventricle apex. A persistent left superior vena cava does not preclude successful lead placement.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

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