Percutaneous permanent pacemaker implantation via the azygous vein in a patient with superior vena cava occlusion

Pacing and Clinical Electrophysiology : PACE
Ravindu Hasmukh Kamdar, Richard John Schilling

Abstract

Occlusion of the superior vena cava (SVCO) makes implantation of permanent pacemakers challenging and difficult. We describe an extended application of a Medtronic Attain (Medtronic Inc., Minneapolis, MN, USA) guide catheter (a tool designed for delivery of left ventricular pacing leads into the coronary sinus) for delivery of a right ventricular pacing lead via the azygous vein in a 72-year-old woman with SVCO secondary to long-term central venous hemodialysis catheters. This approach allowed the use of an endocardial pacing lead, implantation under local anesthesia, and conventional positioning of the pacemaker generator in the pectoral region in a patient with SVCO.

References

Dec 1, 1990·Pacing and Clinical Electrophysiology : PACE·C L Byrd, S J Schwartz
Jul 1, 1989·Pacing and Clinical Electrophysiology : PACE·M H Ellestad, J French
May 30, 1998·Pacing and Clinical Electrophysiology : PACE·C De CockC A Visser
Feb 7, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·T YamakawaS Matsuo
Mar 29, 2001·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·G MathurR Sutton
Dec 3, 2004·Journal of Cardiovascular Electrophysiology·Cornelis J van RoodenMenno V Huisman
Aug 18, 2005·Pacing and Clinical Electrophysiology : PACE·Ananth M PrasanDavid R Ramsay
Sep 27, 2005·Cardiovascular and Interventional Radiology·Jeffrey J Wong, Thomas B Kinney
Jan 26, 2007·International Journal of Cardiology·Omer GoktekinBilgin Timuralp

Related Concepts

Structure of Azygous Vein
Artificial Cardiac Pacemaker
Superior Vena Cava Thrombosis
Prosthesis Implantation
Local Anesthesia
Implantation Procedure
Needle Device
Obstruction
Veins
Superior Vena Cava Structure

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