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Europace Advance Access originally published online on November 6, 2008
Europace 2009 11(1):119-120; doi:10.1093/europace/eun304
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATIONS

Cardiac defibrillator implantation via persistent left superior vena cava facilitated by a coronary sinus delivery system

Yuval Konstantino*, Jairo Kusniec, Ronit Shohat-Zabarski, Alexander Battler and Boris Strasberg

Department of Cardiology, Rabin Medical Center, Petah-Tikva and Sackler School of Medicine, Tel-Aviv University, Campus Beilinson, 39 Jabotinsky St., 49100 Petah-Tikva, Israel

Persistent left superior vena cava (PLSVC) is a benign vascular anomaly that complicates pacemaker or implantable cardioverter defibrillator (ICD) lead implantation. Thus far, right ventricular lead implantation via PLSVC has been mostly accomplished by forming a U-shaped stylet, necessitating considerable manoeuvring depending on the heart size and geometry. In this article we report a technique of ICD lead implantation via PLSVC, using a coronary sinus delivery system as used today in cardiac resynchronization therapy.

* Corresponding author. Tel: +1 617 6327713. E-mail address: ykonstan{at}bidmc.harvard.edu


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