Key result
Biventricular pacemaker implantation via the femoral vein using an active fixation lead was successfully performed in a patient with an inaccessible superior venous route, improving ejection fraction to 45% at 1 year.
Case Report (n=1)
No
Biventricular pacemaker implantation via the femoral vein using an active fixation lead is a feasible and effective alternative for patients with inaccessible superior venous routes and contraindications to epicardial lead placement.
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Femoral CRT may be feasible when superior access fails; leaves open need for prospective validation before wider adoption.
We report the case of biventricular pacemaker implantation via the femoral vein, in a patient with impossibility of using standard superior vein approach and a contraindication to epicardial lead placement.
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Sergio Agosti (2012) conducted a case report in Idiopathic dilated cardiomyopathy with superior vena cava syndrome (n=1). Biventricular pacemaker implantation via the femoral vein was evaluated on Successful implantation and clinical improvement. Biventricular pacemaker implantation via the femoral vein using an active fixation lead was successfully performed in a patient with an inaccessible superior venous route, improving ejection fraction to 45% at 1 year.
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