Transvenous dual-chamber pacemaker implantation in patients with persistent left superior vena cava
Abstract Background Persistent left superior vena cava (PLSVC) is a rare congenital vascular anomaly. Permanent pacemaker implantation (PPI) in patients with PLSVC can be challenging because of the venous anomalies. We reported a case series of patients with PLSVC who underwent PPI with double activ...
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| Language: | English |
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BMC
2019-04-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | http://link.springer.com/article/10.1186/s12872-019-1082-7 |
| _version_ | 1818251039946571776 |
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| author | Teng Li Qiong Xu Hong-tao Liao Dimitrios Asvestas Konstantinos P. Letsas Yifu Li |
| author_facet | Teng Li Qiong Xu Hong-tao Liao Dimitrios Asvestas Konstantinos P. Letsas Yifu Li |
| author_sort | Teng Li |
| collection | DOAJ |
| description | Abstract Background Persistent left superior vena cava (PLSVC) is a rare congenital vascular anomaly. Permanent pacemaker implantation (PPI) in patients with PLSVC can be challenging because of the venous anomalies. We reported a case series of patients with PLSVC who underwent PPI with double active fixation leads. Methods From January 2012 to July 2016, 9 patients (three male and six females, mean age 68 ± 11 years) with PLSVC who received a dual-chamber pacemaker with double active fixation leads were enrolled retrospectively in this observational study. The indications for pacemaker implantation were symptomatic third-degree atrioventricular block in one and sick sinus syndrome in eight patients. Results PPI were implanted successfully in all 9 patients. Successful positioning of the ventricular leads at the right ventricular outflow tract (RVOT) septum with a “C” shaped stylet was achieved in 7 patients (77.8%). In the remaining two cases, the ventricular leads were placed in the right ventricular apex and the inferior free wall of the sub-tricuspid annulus. The atrial leads were placed at the lateral wall of the right atrium in all patients. Procedure time and fluoroscopy time were 85.3 ± 11.3 min and 4.5 ± 1.1 min respectively. During a mean follow-up of 4 years, no complications were observed and pacing parameters did not change significantly. Conclusion PPI through PLSVC may be technically feasible, safe, and effective. Double active fixation leads may be standard for patients with PLSVC and most of the ventricular leads could be placed at the RVOT septum. |
| first_indexed | 2024-12-12T16:01:57Z |
| format | Article |
| id | doaj.art-80c7c57850ca4636aad57b717d770d44 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-12T16:01:57Z |
| publishDate | 2019-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-80c7c57850ca4636aad57b717d770d442022-12-22T00:19:23ZengBMCBMC Cardiovascular Disorders1471-22612019-04-011911610.1186/s12872-019-1082-7Transvenous dual-chamber pacemaker implantation in patients with persistent left superior vena cavaTeng Li0Qiong Xu1Hong-tao Liao2Dimitrios Asvestas3Konstantinos P. Letsas4Yifu Li5Arrhythmia Department, Fuwai Hospital Chinese Academy of Medical SciencesArrhythmia Department, Fuwai Hospital Chinese Academy of Medical SciencesCardiovascular Department, Guangdong Cardiovascular Institute, Guangdong General Hospital & Guangdong Academy of Medical SciencesSecond Department of Cardiology, Laboratory of Cardiac Electrophysiology, “Evangelismos” General Hospital of AthensSecond Department of Cardiology, Laboratory of Cardiac Electrophysiology, “Evangelismos” General Hospital of AthensArrhythmia Department, Fuwai Hospital Chinese Academy of Medical SciencesAbstract Background Persistent left superior vena cava (PLSVC) is a rare congenital vascular anomaly. Permanent pacemaker implantation (PPI) in patients with PLSVC can be challenging because of the venous anomalies. We reported a case series of patients with PLSVC who underwent PPI with double active fixation leads. Methods From January 2012 to July 2016, 9 patients (three male and six females, mean age 68 ± 11 years) with PLSVC who received a dual-chamber pacemaker with double active fixation leads were enrolled retrospectively in this observational study. The indications for pacemaker implantation were symptomatic third-degree atrioventricular block in one and sick sinus syndrome in eight patients. Results PPI were implanted successfully in all 9 patients. Successful positioning of the ventricular leads at the right ventricular outflow tract (RVOT) septum with a “C” shaped stylet was achieved in 7 patients (77.8%). In the remaining two cases, the ventricular leads were placed in the right ventricular apex and the inferior free wall of the sub-tricuspid annulus. The atrial leads were placed at the lateral wall of the right atrium in all patients. Procedure time and fluoroscopy time were 85.3 ± 11.3 min and 4.5 ± 1.1 min respectively. During a mean follow-up of 4 years, no complications were observed and pacing parameters did not change significantly. Conclusion PPI through PLSVC may be technically feasible, safe, and effective. Double active fixation leads may be standard for patients with PLSVC and most of the ventricular leads could be placed at the RVOT septum.http://link.springer.com/article/10.1186/s12872-019-1082-7Persistent left superior vena cavaPacemakerImplantationActive fixation lead |
| spellingShingle | Teng Li Qiong Xu Hong-tao Liao Dimitrios Asvestas Konstantinos P. Letsas Yifu Li Transvenous dual-chamber pacemaker implantation in patients with persistent left superior vena cava BMC Cardiovascular Disorders Persistent left superior vena cava Pacemaker Implantation Active fixation lead |
| title | Transvenous dual-chamber pacemaker implantation in patients with persistent left superior vena cava |
| title_full | Transvenous dual-chamber pacemaker implantation in patients with persistent left superior vena cava |
| title_fullStr | Transvenous dual-chamber pacemaker implantation in patients with persistent left superior vena cava |
| title_full_unstemmed | Transvenous dual-chamber pacemaker implantation in patients with persistent left superior vena cava |
| title_short | Transvenous dual-chamber pacemaker implantation in patients with persistent left superior vena cava |
| title_sort | transvenous dual chamber pacemaker implantation in patients with persistent left superior vena cava |
| topic | Persistent left superior vena cava Pacemaker Implantation Active fixation lead |
| url | http://link.springer.com/article/10.1186/s12872-019-1082-7 |
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