Key result
Shaping pacing leads into pigtails facilitates RV apex positioning in PLSVC patients with 0 complications.
Why the study?
Does shaping the pacing lead into a pigtail loop facilitate implantation and prevent complications in patients with persistent left superior vena cava undergoing VVI pacing?
Population
4 patients with persistent left superior vena cava undergoing permanent endocardial VVI pacing
Design
Case_series
Follow-up
mean three years
Authors
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Pigtail lead shaping may enable RV apex placement in persistent left SVC; hypothesis-generating and should not change practice yet.
Case Report (n=4)
Does shaping the pacing lead into a pigtail loop facilitate implantation and prevent complications in patients with persistent left superior vena cava undergoing VVI pacing?
Shaping the pacing lead into a pigtail loop is a safe and effective technique for overcoming anatomical challenges during VVI pacemaker implantation in patients with persistent left superior vena cava.
Zerbe et al. (1992) conducted a case report in Persistent left superior vena cava requiring permanent endocardial VVI pacing (n=4). Shaping the pacing lead into a pigtail with a 3-4 cm wide loop was evaluated on Complications. Shaping the pacing lead into a pigtail with a 3-4 cm wide loop facilitated right ventricular apex positioning in patients with persistent left superior vena cava, with 0 complications over 3 years.
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