Innovative endovascular defibrillator lead use in superior vena cava obstruction

Autor:	Tomasz, Stys, Shalini, Kapoor, Danielle, Carter-Adkins, Roman T, Pachulski
Rok vydání:	2002
Předmět:	Heart Failure Male Superior Vena Cava Syndrome Treatment Outcome Atrial Fibrillation Cardiac Pacing Artificial Humans Phlebography Middle Aged Severity of Illness Index Defibrillators Implantable Follow-Up Studies
Zdroj:	Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing. 6(1)
ISSN:	1383-875X
Popis:	We describe an unusual case of severe heart failure (HF) and rapid atrial fibrillation (AF) improved through ablation and pacemaker implant despite superior vena cava obstruction (SVCO).SVCO precluded upper body venous access to the heart for procedural rate control. Both AV Junctional ablation and permanent endovascular lead placement were achieved through the inferior vena cava (IVC).Clinical improvement from NYHA Class IV to Class II HF was observed with effective nonpharmacologic ventricular rate control.HF patients with rapid AF and SVCO can achieve ventricular rate control through lower body venous access to the heart utilizing 100-cm endovascular defibrillator rate sensing leads.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::c39c3e1219c7e14a3b4298b9b4baf3bf https://pubmed.ncbi.nlm.nih.gov/11839889 Zobrazit plný text záznamu Full text from SpringerLink