Key result
VDD pacing lead insertion via PLSVC with large retrograde course allows optimal right atrial sensing.
Demonstrates a technique for achieving optimal right atrial sensing during VDD pacing lead insertion in a patient with a persistent left superior vena cava.
May enable VDD lead placement via persistent left SVC; hypothesis-generating and requires prospective validation before broader use.
This report describes a pacing lead insertion through a persistent left superior vena cava in the VDD pacing mode, with a large retrograde lead course allowing the optimal positioning of the sensing electrodes in the right atrium.
No takes yet. Share an insight, caveat, or question.
Trigano et al. (2003) studied this question. Insertion of a VDD pacing lead through a persistent left superior vena cava with a large retrograde course allowed optimal positioning of sensing electrodes in the right atrium.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: