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Case Reports
. 2020 May 25;8(9):1642-1646.
doi: 10.1002/ccr3.2966. eCollection 2020 Sep.

Active fixation coronary sinus lead in a patient with persistence of left superior vena cava

Fabrizio Caravati  1 , Michele Golino  1 , Giulia Damiani  1 , Giada Oliviero  1 , Andrea Lorenzo Vecchi  1 , Chiara Giuntini  1 , Edoardo Maria Paganini  1 , Roberto De Ponti  1
Affiliations
Case Reports

Active fixation coronary sinus lead in a patient with persistence of left superior vena cava

Fabrizio Caravati et al. Clin Case Rep. .

Abstract

In patients with PLSVC, the use of an active fixation lead (like the Medtronic "Attain Stability") on the coronary sinus can lead to a successful and safe cardiac resynchronization, facilitating its positioning with a low long-term displacement rate.

Keywords: active fixation lead; cardiac resynchronization therapy and defibrillator; cardiac venous anomaly; heart failure; sudden cardiac death.

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Conflict of interest statement

Prof. R. De Ponti has received lecture fees from Biosense Webster and Biotronik, and his institution has received educational grant from Medtronic, Biotronik, Boston Scientific, Biosense Webster, and Abbott.

Figures

Figure 1
Figure 1
A, 12‐lead ECG preimplantation of CRT‐D: sinus rhythm conducted with left bundle branch block. B, 12‐lead ECG postimplantation of CRT‐D: sinus rhythm with narrow stimulated QRS wave. C, 12‐lead ECG at 2 y of follow‐up after CRT‐D implantation: sinus rhythm with narrow stimulated QRS wave
Figure 2
Figure 2
A, Intraoperative venography (RAO 5°, CAU 0°): dilated coronary sinus. B, Intraoperative fluoroscopy view (RAO 5°, CAU 0°) of the anterolateral coronary sinus tributary branch. C, Intraoperative fluoroscopy view (RAO 14°, CRA 4°) of the active fixation lead. D, Intraoperative fluoroscopy view (LAO 18°, CAU 4°) of postimplantation CRT‐D
Figure 3
Figure 3
Summary of CRT‐D electrical parameters at 2 y of follow‐up: persistence of good electrical parameters
See this image and copyright information in PMC

References

    1. Beig JR, Dar MI, Tramboo NA, et al. An innovation in pacemaker lead implantation via persistent left superior vena cava: the “3D alpha curve” stylet. Pacing Clin Electrophysiol. 2017;40(9):1042‐1044. 10.1111/pace.13075 - DOI - PubMed
    1. Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure: the task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) developed with the special contribution of the heart failure association (HFA) of the ESC. Eur Heart J. 2016;37:2129‐2200. - PubMed
    1. Gentille Lorente DI. Vena cava superior izquierda persistente en un varón con transtorno de la conducción cardíaca. Rev Fed Arg Cardiol. 2013;42:219‐221.
    1. Nair GM, Shen S, Nery PB, Redpath CJ, Birnie DH. Cardiac resynchronization therapy in a patient with persistent left superior vena cava draining into the coronary sinus and absent innominate vein: a case report and review of literature. Indian Pacing Electrophysiol J. 2014;14:268‐272. - PMC - PubMed
    1. Biffi M, Massaro G, Diemberger I, et al. Cardiac resynchronization therapy in persistent left superior vena cava: can you do it two‐leads‐only? HeartRhythm Case Rep. 2016;19(3):30‐32. - PMC - PubMed

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