PMID: 9604254May 30, 1998Paper

Unusual approach of a pacemaker electrode in a patient with a silent superior vena cava syndrome

Pacing and Clinical Electrophysiology : PACE
C De CockC A Visser


A man with a history of bilateral pectoral pocket infection and subsequent pacemaker implantation with a screw-in epicardial lead was referred because of increasing lead impedance. Venography revealed bilateral total occlusion of the subclavian and innominate veins with extensive collateral formation in this asymptomatic patient. Both internal jugular veins were also totally occluded. Because repeated pacemaker implantation using epicardial leads resulted in increasing lead impedance of the ventricular lead within 1 year after implant, an alternative approach was found using the superior caval vein with minimal invasive thoracotomy for single lead VDD pacing.


Jul 1, 1975·Chest·V MahajanF D Loop
Jul 1, 1989·Pacing and Clinical Electrophysiology : PACE·M H Ellestad, J French
Dec 1, 1989·Pacing and Clinical Electrophysiology : PACE·J A GoudevenosD O Williams
May 21, 1973·JAMA : the Journal of the American Medical Association·M WertheimerC H Castle
Mar 1, 1993·American Heart Journal·H MazzettiJ O Lazzari
Jul 1, 1996·Pacing and Clinical Electrophysiology : PACE·S B FishbergerR J Sommer
Jun 1, 1997·Pacing and Clinical Electrophysiology : PACE·H Kataoka


Jan 26, 2007·International Journal of Cardiology·Omer GoktekinBilgin Timuralp
Apr 18, 2003·Pacing and Clinical Electrophysiology : PACE·Hidenori SakoHirotsugu Hamamoto
Mar 1, 2008·Pacing and Clinical Electrophysiology : PACE·Ravindu Hasmukh Kamdar, Richard John Schilling

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