Cardiac implantable electronic devices in patients with persistent left superior vena cava—A single center experience

Autor: Stacy Westerman, Anshul M. Patel, Anand D. Shah, Dean Sabayon, Soroosh Kiani, David B. Delurgio, Michael Lloyd, Angel R. Leon, Mikhael F. El-Chami, Bahajat Ghazzal, Faisal M. Merchant
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Time Factors
Vena Cava
Superior
Databases
Factual
medicine.medical_treatment
Operative Time
Electric Countershock
Cardiac resynchronization therapy
030204 cardiovascular system & hematology
Single Center
Risk Assessment
Cardiac Resynchronization Therapy
Prosthesis Implantation
03 medical and health sciences
0302 clinical medicine
Persistent Left Superior Vena Cava
Risk Factors
Physiology (medical)
medicine
Humans
Fluoroscopy
In patient
Cardiac Resynchronization Therapy Devices
030212 general & internal medicine
Persistent left superior vena cava
Aged
Retrospective Studies
Aged
80 and over
medicine.diagnostic_test
business.industry
Electronic medical record
Middle Aged
Device type
medicine.disease
Defibrillators
Implantable
Surgery
Treatment Outcome
cardiovascular system
Feasibility Studies
Female
Implant
Cardiology and Cardiovascular Medicine
business
Zdroj: Journal of Cardiovascular Electrophysiology. 31:1175-1181
ISSN: 1540-8167
1045-3873
DOI: 10.1111/jce.14460
Popis: BACKGROUND There are limited data on cardiac implantable electronic device implantation (CIED) in patients with persistent left superior vena cava (PLSVC). OBJECTIVE To describe the outcomes of implanting CIEDs with a focus on cardiac resynchronization therapy (CRT) in patients with PLSVC. METHODS We identified all patients with a PLSVC that underwent CIED implantation from December 2008 until February 2019 at our institution by querying the electronic medical record (n = 34). We then identified controls in a 3:1 fashion (n = 102) by matching on device type (CRT vs non-CRT). Procedure success, complications, fluoroscopy and procedural time were recorded. Outcomes were compared using a two-way analysis of variance test and conditional regression modeling for continuous and categorical variables, respectively. RESULTS A total of 34 patients with PLSVC underwent 38 procedures. Four patients underwent dual chamber system implantation followed by a subsequent upgrade to CRT. Thirteen patients underwent CRT implantation: one was implanted via the right subclavian while the rest were implanted via the PLSVC. Left ventricular (P = .06). Procedure and fluoroscopy times were significantly higher in the PLSVC as compared with the control group (97.7 vs 66.1 minute, P
Databáze: OpenAIRE
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