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Updated: Jun 28, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
16:40

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

Published on: February 28, 2012

Cardiac defibrillator implantation via persistent left superior vena cava facilitated by a coronary sinus delivery

Yuval Konstantino1, Jairo Kusniec, Ronit Shohat-Zabarski

  • 1Department of Cardiology, Rabin Medical Center, Petah-Tikva and Sackler School of Medicine, Tel-Aviv University, Campus Beilinson, 39 Jabotinsky St., 49100 Petah-Tikva, Israel. ykonstan@bidmc.harvard.edu

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
|November 8, 2008
PubMed

Insights

Persistent left superior vena cava (PLSVC) complicates device implantation. A novel technique using a coronary sinus delivery system simplifies implantable cardioverter-defibrillator (ICD) lead placement in the right ventricle via PLSVC.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Medical Devices

Background:

  • Persistent left superior vena cava (PLSVC) is a common congenital vascular anomaly.
  • PLSVC presents challenges for pacemaker and implantable cardioverter-defibrillator (ICD) lead implantation.
  • Current methods for right ventricular lead placement via PLSVC often require complex stylet manipulation.

Observation:

  • This study reports a new technique for implanting ICD leads in patients with PLSVC.
  • The technique utilizes a coronary sinus delivery system, commonly employed in cardiac resynchronization therapy.
  • This approach aims to simplify the lead implantation process.

Findings:

  • The coronary sinus delivery system offers a more straightforward method for navigating and securing leads through a PLSVC.
  • This technique potentially reduces the procedural complexity and fluoroscopy time associated with lead implantation in these patients.
  • Successful ICD lead implantation was achieved using this modified approach.

Implications:

  • This technique may become a valuable alternative for electrophysiologists managing patients with PLSVC requiring cardiac electronic device implantation.
  • It could improve patient outcomes by simplifying a technically challenging procedure.
  • Further studies are warranted to evaluate the long-term efficacy and safety of this method.

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