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Pacing Clin Electrophysiol · Mar 2008
Case ReportsPercutaneous permanent pacemaker implantation via the azygous vein in a patient with superior vena cava occlusion.
- Ravindu Hasmukh Kamdar and Richard John Schilling.
- Department of Cardiology, St. Bartholomew's Hospital, Dominion House, 60 Bartholomew Close, West Smithfield, London EC1A 7BE, UK.
- Pacing Clin Electrophysiol. 2008 Mar 1; 31 (3): 386-8.
AbstractOcclusion 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.
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