Key result
Iliac vein pacemaker implantation is associated with ~21% atrial lead dislodgement requiring revision.
Why the study?
The iliac vein approach to permanent pacemaker implantation offers a simple alternative to the usual pectoral site but has concerns about lead dislodgement, especially atrial leads.
Is the iliac vein approach a viable and safe alternative for permanent pacemaker implantation?
Population
90 patients undergoing permanent pacemaker implantation
Comparison
Iliac vein approach vs usual pectoral implantation site
Design
Observational case series
Authors
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Iliac vein access carries substantial revision risk; leaves open optimal routes for patients lacking standard venous options.
Observational (n=90)
Is the iliac vein approach a viable and safe alternative for permanent pacemaker implantation?
The iliac vein approach for permanent pacemaker implantation is a simple alternative to the pectoral site but is significantly limited by a high rate of lead dislodgement, particularly in the atrium.
Myrvin Ellestad (1989) conducted an observational in Permanent pacemaker implantation (n=90). Iliac vein approach for permanent pacemaker implantation was evaluated on Lead dislodgement requiring repositioning or revision. Permanent pacemaker implantation via an iliac vein approach resulted in lead dislodgement requiring revision in 21% of atrial leads and 7% of ventricular leads.
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