Slittable sheath supported right ventricular pacing lead implantation in persistent left superior vena cava with absent right superior vena cava : a case report

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F23%3A00084118" target="_blank" >RIV/00023001:_____/23:00084118 - isvavai.cz</a>
Alternative codes found
RIV/61988987:17110/23:A2402NGQ RIV/00843989:_____/23:E0110348
Result on the web
<a href="https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-023-04073-y" target="_blank" >https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-023-04073-y</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1186/s13256-023-04073-y" target="_blank" >10.1186/s13256-023-04073-y</a>

Result language
angličtina
Original language name
Slittable sheath supported right ventricular pacing lead implantation in persistent left superior vena cava with absent right superior vena cava : a case report
Original language description
Background Persistent left superior vena cava (PLSVC) is the most common variant of systemic venous drainage. In the absence of the right superior vena cava (RSVC), implantation of a right ventricular pacing lead may be challenging. Therefore specific implantation techniques and experiences in PLSVC are worth reporting. Case presentation We present a case report of a 90-year- old Caucasian female patient with PLSVC during single chamber pacemaker implantation due to the third-degree atrioventricular block. With common implantation techniques, we did not even reach the right ventricle. Therefore slittable CPS Direct (TM) Universal sheath was employed to overcome the acute angle from PLSVC to tricuspid valve and ensure more fixation stability for longer 100- cm right ventricular lead placement. Conclusion This case demonstrates safe implantation of 100-cm long right ventricular bipolar active fixation pacing lead using common slittable CPS Direct T Universal sheath after failed attempts with "C" and "J" stylet shaped electrode. This sheath provides different angle towards tricuspid valve and more fixation stability in patient with PLSVC and absent connection to right atrium.
Czech name
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Czech description
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Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems

Publication year
2023
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

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