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 |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_treatment Lead impedance Case Report Case Reports 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine Seldinger technique 030212 general & internal medicine Thoracotomy Internal jugular vein business.industry permanent pacemaker Epicardial pacing lead medicine.disease Thrombosis Surgery Stenosis internal jugular vein upper limb deep vein thrombosis lcsh:RC666-701 cardiovascular system Permanent pacemaker Cardiology and Cardiovascular Medicine business |
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 |
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