Transjugular Seldinger approach for permanent pacemaker implantation in octogenarian with inaccessible upper limbs venous system

Autor: Monica Trifitriana, Savero Evan Abisha, Alexander Edo Tondas, Raymond Pranata, Rido Mulawarman
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Arrhythmia, Vol 36, Iss 1, Pp 199-202 (2020)
Journal of Arrhythmia
ISSN: 1880-4276
1883-2148
Popis: In up to 13.7% of device implants, lead entry through the cephalic, axillary, or subclavian veins might be unfeasible. Transjugular permanent pacemaker (PPM) implantation may be considered as a bailout strategy in the difficult anatomy of conventional veins, before resorting to epicardial pacing lead, which requires general anesthesia and thoracotomy. We described a case report of a single chamber PPM implantation in an 83‐year‐old man using transjugular Seldinger approach without surgical cut down of the internal jugular vein, due to spasm, stenosis, and thrombosis of the upper limbs venous systems. Acceptable lead impedance and threshold were maintained during 2 months follow‐up.
We described a case report of a single chamber PPM implantation in 83‐year‐old man using a transjugular approach without surgical cut down of the internal jugular vein, due to spasm, stenosis, and thrombosis of the upper limbs venous systems. Acceptable lead impedance and threshold were maintained during 2 months follow‐up.
Databáze: OpenAIRE