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Europace Advance Access published online on January 31, 2007
Europace, doi:10.1093/europace/eul183
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

A novel technique for right ventricular lead placement in a patient with a persistent left superior vena cava

Marcos Daccarett, Rakesh K. Pai, Moeen Abedin, Nathan M. Segerson and Mohamed H. Hamdan*

Division of Cardiac Electrophysiology, University of Utah Health Science Center/Salt Lake City VA Administration Hospital, 30 North 1900 East, 4A100, Salt Lake City, UT 84132, USA

Persistent left superior vena cava is the most common venous anomaly of the thorax. If unrecognized, it could lead to catheter malplacement and even vascular injuries. We describe a novel use of a Worley sheath for the delivery of a right ventricular (RV) endocardial pacing lead in a 65-year-old male with a persistent left superior vena cava. After failed attempts with the standard stylets, use of the Worley sheath aided successful lead deployment. We conclude that when used appropriately, the Worley sheath is a tool that could be helpful in pacing lead placement in patients with persistent left superior vena cava.

Key Words: Persistent left superior vena cava, Right ventricle pacing lead deployment, Worley sheath

* Corresponding author. Tel: +801 581 7715; fax: +801 581 7735. E-mail address: mohamed.hamdan{at}hsc.utah.edu


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