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Unusual site of permanent pacing: a case report.

Yadav R, Chandra S, Naik N, Nagesh C, Kothari S - Indian Pacing Electrophysiol J (2009)

Bottom Line: However in cases with superior vena caval or bilateral subclavian occlusion and bilateral infection of pacemaker site, alternative site is warranted.Epicardial route needs general anesthesia and has its own problems.Iliofemoral route has been used previously but has more lead related problems and patient discomfort.

View Article: PubMed Central - PubMed

Affiliation: Department Of Cardiology, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110029, India. rakeshyadav123@yahoo.com

ABSTRACT
Subclavian route is a standard way of performing a permanent pacemaker. However in cases with superior vena caval or bilateral subclavian occlusion and bilateral infection of pacemaker site, alternative site is warranted. Epicardial route needs general anesthesia and has its own problems. Iliofemoral route has been used previously but has more lead related problems and patient discomfort. Here we are reporting a case in which transiliac pacing was done due to both right and left pacemaker site active infection and to avoid the chance of lead dislodgement, an alpha loop was made in the right atrium.

No MeSH data available.


Related in: MedlinePlus

X-ray in anterioposterior view showing pacemaker unit lying under rectus sheath with pacing lead going through external iliac vein to inferior vena cava. Pacemaker unit is looking lateral and down  because of patulous abdomen and X ray has been taken in erect posture.
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Figure 2: X-ray in anterioposterior view showing pacemaker unit lying under rectus sheath with pacing lead going through external iliac vein to inferior vena cava. Pacemaker unit is looking lateral and down because of patulous abdomen and X ray has been taken in erect posture.

Mentions: A second incision was given lateral to umbilicus over rectus sheath for putting pacemaker unit. The lead was then tunneled subcutaneously and connected to the pacemaker (VVIR, Regency 2400L) which was put from the second incision (Figure 2).


Unusual site of permanent pacing: a case report.

Yadav R, Chandra S, Naik N, Nagesh C, Kothari S - Indian Pacing Electrophysiol J (2009)

X-ray in anterioposterior view showing pacemaker unit lying under rectus sheath with pacing lead going through external iliac vein to inferior vena cava. Pacemaker unit is looking lateral and down  because of patulous abdomen and X ray has been taken in erect posture.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2655057&req=5

Figure 2: X-ray in anterioposterior view showing pacemaker unit lying under rectus sheath with pacing lead going through external iliac vein to inferior vena cava. Pacemaker unit is looking lateral and down because of patulous abdomen and X ray has been taken in erect posture.
Mentions: A second incision was given lateral to umbilicus over rectus sheath for putting pacemaker unit. The lead was then tunneled subcutaneously and connected to the pacemaker (VVIR, Regency 2400L) which was put from the second incision (Figure 2).

Bottom Line: However in cases with superior vena caval or bilateral subclavian occlusion and bilateral infection of pacemaker site, alternative site is warranted.Epicardial route needs general anesthesia and has its own problems.Iliofemoral route has been used previously but has more lead related problems and patient discomfort.

View Article: PubMed Central - PubMed

Affiliation: Department Of Cardiology, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110029, India. rakeshyadav123@yahoo.com

ABSTRACT
Subclavian route is a standard way of performing a permanent pacemaker. However in cases with superior vena caval or bilateral subclavian occlusion and bilateral infection of pacemaker site, alternative site is warranted. Epicardial route needs general anesthesia and has its own problems. Iliofemoral route has been used previously but has more lead related problems and patient discomfort. Here we are reporting a case in which transiliac pacing was done due to both right and left pacemaker site active infection and to avoid the chance of lead dislodgement, an alpha loop was made in the right atrium.

No MeSH data available.


Related in: MedlinePlus