Implantation of a resynchronization implantable cardioverter defibrillator in a patient with persistent left superior vena cava

Antonelli, Dante; Freedberg, Nahum Adam and Feldman, Alexander (2007) Implantation of a resynchronization implantable cardioverter defibrillator in a patient with persistent left superior vena cava. Indian Pacing and Electrophysiology Journal, 7 (4). pp. 246-248. ISSN 0972-6292

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Abstract

Implantation of resynchronization implantable cardioverter defibrillator was performed in a patient with persistent left superior vena cava. A dual coil defibrillation lead was inserted in the right ventricle apex via a small innominate vein. Left ventricular and atrial leads were implanted through persistent left superior vena cava. Left ventricular lead was easily implanted into the postero lateral vein. Pacing thresholds and sensing values were excellent and remained stable at 18 months follow-up. Presence of persistent left superior vena cava generally makes transvenous lead implantation difficult. However when a favorable coronary sinus anatomy is also present, it may facilitate left ventricular lead positioning in the coronary sinus branches.

EPrint Type:Article
Uncontrolled Keywords:Left Persistent Vena Cava, Implantable Cardioverter Defibrillator, Resynchronization therapy
Subjects:-Journal Repositories > Indian Pacing and Electrophysiology Journal
Cardiovascular Diseases > Vascular Diseases > Superior Vena Cava Syndrome
Persons > Patients
Equipment and Supplies > Electrodes > Defibrillators > Defibrillators, Implantable
Therapeutics > Cardiac Pacing, Artificial
ID Code:2716
Deposited By:Indian Pacing and Electrophysiology Journal
Deposited On:10 March 2008

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