Pacing and clinical electrophysiology : PACE
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Pacing Clin Electrophysiol · Aug 2006
Case ReportsImplant of a biventricular pacemaker in a patient with dextrocardia and persistent left superior vena cava.
Congenital anomalies of the heart can pose challenges to cardiac invasive procedures. Here, we present the case of a 40-year-old man with the combination of dextrocardia, a persistent left superior vena cava, and idiopathic dilated cardiomyopathy. We describe the successful implantation of a biventricular pacemaker-defibrillator under this complex anatomic condition.
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Pacing Clin Electrophysiol · Aug 2006
Controlled Clinical TrialUltrasound-guided venous access for permanent pacemaker leads.
Existing methods of venous access for permanent pacemaker leads have disadvantages. We documented learning times for ultrasound-guided lead implantation and compared them with cephalic venotomy technique. ⋯ Ultrasound-guided venepuncture for placement of permanent pacing leads is quick to learn and achieves faster lead placement times with shorter and more predictable fluoroscopy time when compared with the cephalic venotomy technique.