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The Use of Active Fixation Electrodes for Permanent Endocardial Pacing Via a Persistent Left Superior Vena Cava
Author(s) -
HELLESTRAND K.J.,
WARD D.E.,
BEXTON R.S.,
CAMM A.J.
Publication year - 1982
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1982.tb02211.x
Subject(s) - medicine , persistent left superior vena cava , atrioventricular block , ventricle , fixation (population genetics) , superior vena cava , cardiology , endocardium , surgery , coronary sinus , population , environmental health
Two patients underwent permanent endocardial pacing for complete atrioventricular block. In each case a persistent left superior vena cava was either suspected or known to be present. An active fixation electrode was passed down the left superior vena cava and the tip positioned in the apex of the right ventricle. Stable ventricular pacing was achieved for the follow‐up period of approximately six months. With the availability of such active fixation electrodes the presence of a persistent left superior vena cava no longer mandates insertion of an endocardial electrode via the right superior vena cava. when present, or implantation of an epicardial pacing system. (PACE, Vol. 5, March‐April, 1982)