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An Innovation in Pacemaker Lead Implantation via Persistent Left Superior Vena Cava: The “3D Alpha Curve” Stylet
Author(s) -
BEIG JAHANGIR RASHID,
DAR MOHD. IQBAL,
TRAMBOO NISAR A.,
HAFEEZ IMRAN,
LONE AJAZ A.,
RATHER HILAL A.
Publication year - 2017
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/pace.13075
Subject(s) - stylet , persistent left superior vena cava , medicine , coronary sinus , ventricle , lead (geology) , cardiology , anatomy , geomorphology , geology
Persistent left superior vena cava (PLSVC) draining into coronary sinus is typically detected incidentally during transcatheter interventions using left subclavian venous approach. In our experience, we have encountered this anomaly on a few occasions and in all these cases we successfully implanted leads in the right ventricle (RV) by shaping the stylet into a “U‐shaped” or “pigtail‐shaped” curve. Herein, we report a case of an adult male who underwent successful dual‐chamber pacemaker implantation via PLSVC through left axillary venous approach. In this case, we were unable to deliver the lead into RV using aforementioned stylets. As an innovation, we used a “three‐dimensional alpha curve”‐shaped stylet that facilitated an easy entry of pacing lead into the RV.