Key result
Permanent pacemaker implantation via directly punctured inferior vena cava was successfully performed in an 89-year-old woman, resulting in an excellent symptomatic response to pacing.
Case Report (n=1)
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Direct puncture of the inferior vena cava is a feasible alternative approach for permanent pacemaker implantation when usual access sites are inaccessible.
A 89-year-old woman required permanent pacemaker implantation because of symptomatic bradyarrhythmia with multiple falls and repeated fractures. Because of the obstruction of the thoracic veins and infection of both groins, an alternative approach via directly punctured inferior vena cava was performed. At follow-up, the patient remained well with an excellent symptomatic response to pacing. The method seems simple to perform and is an alternative when the usual pectoral implantation site is inaccessible.
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Brueck et al. (2007) conducted a case report in Symptomatic bradyarrhythmia (n=1). Permanent pacemaker implantation via directly punctured inferior vena cava was evaluated on Symptomatic response to pacing at follow-up. Permanent pacemaker implantation via directly punctured inferior vena cava was successfully performed in an 89-year-old woman, resulting in an excellent symptomatic response to pacing.
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