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Percutaneous Permanent Pacemaker Implantation Via The Azygous Vein In A Patient With Superior Vena Cava Occlusion
Author(s) -
KAMDAR RAVINDU HASMUKH,
SCHILLING RICHARD JOHN
Publication year - 2008
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.1540-8159.2008.01003.x
Subject(s) - medicine , coronary sinus , percutaneous , catheter , superior vena cava , occlusion , prosthesis implantation , surgery , cardiac pacing , vein , persistent left superior vena cava , permanent pacemaker , cardiology , subclavian vein , prosthesis
Occlusion 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.