30 September 2009
Utilization of the right internal jugular vein on biventricular pacing
Adriss Faraj, Naga V.A. Kommuri, Erik Saulitis, Ramegowda Rajagopal, Mukarram A. SiddiquiAm J Case Rep 2009; 10:152-154 :: ID: 878217
Abstract
Background: Cardiac resynchronization therapy by Biventricular pacing has emerged as a novel therapeutic option for patients with heart failure who continue to be symptomatic despite optimal medical therapy. The left cephalic – axillary – subclavian venous route is commonly used for left ventricular pacing but is not always accessible.
Case Report: A 61-year-old Afro-American female with a known history of NYHA [New York Heart Association] class 4 heart failure, wide QRS complex continued to be symptomatic despite being on maximal medical treatment making her a suitable candidate for cardiac resynchronization therapy. Previous attempt to implant a left ventricular (LV) pacing lead during implantable cardioverter defibrillator was unsuccessful due to unexpected diffi culty associated with accessing the coronary sinus so coronary sinus was cannulated using right internal jugular approach.
Conclusions: In technically impossible right sided coronary sinus cannulation right internal jugular approach is a reasonable alternative before opting for more invasive epicardial approach.
Keywords: biventricular pacing, Electrophysiologic Techniques, Cardiac, Internal jugular vein
In Press
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.945795
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.946588
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.946011
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.945910
Most Viewed Current Articles
21 Jun 2024 : Case report
88,761
DOI :10.12659/AJCR.944371
Am J Case Rep 2024; 25:e944371
07 Mar 2024 : Case report
50,081
DOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
20 Nov 2023 : Case report
25,336
DOI :10.12659/AJCR.941424
Am J Case Rep 2023; 24:e941424
18 Feb 2024 : Case report
22,657
DOI :10.12659/AJCR.943030
Am J Case Rep 2024; 25:e943030