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What's in a Name? Utilization of the Innominate Vein for Pacemaker Lead Placement in the Setting of Persistent Left

Mohammad-Ali Jazayeri1, Rehan Karim2

  • 1Cardiovascular Research Institute, University of Kansas Hospital & Medical Center.

Cureus
|April 4, 2017
PubMed

Insights

Persistent left superior vena cava (PLSVC) is a common anomaly. This case study shows successful pacemaker implantation via the innominate vein, highlighting the importance of understanding venous anatomy.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Anatomical Variations

Background:

  • Persistent left superior vena cava (PLSVC) is the most common thoracic venous anomaly.
  • It occurs in a significant portion of the population and requires clinical consideration.
  • Understanding venous anatomy is crucial for cardiovascular procedures.

Observation:

  • A case involving dual-chamber pacemaker implantation in a patient with PLSVC.
  • The right ventricular lead was successfully placed via a bridging innominate vein.
  • This highlights a specific anatomical variation encountered during device implantation.

Findings:

  • Definitive imaging of venous anatomy is critical for successful device implantation in patients with PLSVC.
  • The innominate vein serves as a viable route for lead placement in such cases.
  • This approach can be safely utilized with careful pre-procedural planning.

Implications:

  • This case demonstrates a practical approach to pacemaker implantation in the presence of PLSVC.
  • It underscores the importance of detailed venography for procedural success.
  • Cardiologists and electrophysiologists should be aware of this anomaly and its management implications.

Keywords:
cardiac implantable electronic devicecardiologycongenital anomalyelectrophysiologyfluoroscopyinnominate veinlead placementleft superior vena cavapermanent pacemakerplsvc

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