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Right Ventricular Electrode Lead Implantation via a Persistent Left Superior Vena Cava

An Improved Technique

Chi Woon Kong, MD, FACA

Jiann Jong Wang, MD

Wan Leong Chan, MD

Shin Pu Wang, MD

Mau Song Chang, MD

Benjamin N. Chiang, MD

Chi Woon Kong, MD

Veterans General Hospital-Taipei 201 Sec 2, Shin-Pai Road Taipei, Taiwan, R.O.C.

Persistent left superior vena cava occurs in approximately 0.5% of the population. This may complicate pacemaker implantation by making lead insertion difficult and causing lead instability through the left cephalic vein and the subclavian vein approach. We used a wide loop technique in the right atrium and successfully advanced the lead in the right ventricle apex. A persistent left superior vena cava does not preclude successful lead placement.

Angiology, Vol. 48, No. 10, 919-923 (1997)
DOI: 10.1177/000331979704801010


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