Related Experiment Video
Updated: Aug 14, 2026
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
Transiliac vein approach to a rate responsive permanent pacemaker implantation
D Antonelli1, N A Freedberg, T Rosenfeld
1Department of Cardiology, Central Emek Hospital, Afula, Israel.
Pacing and Clinical Electrophysiology : PACE
|August 1, 1993
Summary
This case study details a successful pacemaker replacement in a patient with sick sinus syndrome and superior vena cava occlusion. An abdominal VVIR pacemaker with an endocardial lead provided satisfactory performance for one year.
Area of Science:
- Cardiology
- Biomedical Engineering
Background:
- Sick sinus syndrome necessitates pacemaker implantation.
- Superior vena cava occlusion prevented standard lead placement.
- Previous epicardial lead exhibited high pacing thresholds.
Observation:
- A 60-year-old patient required elective pulse generator replacement.
- An endocardial lead was successfully inserted via the iliac vein.
- A VVIR pacemaker was implanted abdominally.
Findings:
- The novel lead and abdominal pacemaker configuration were utilized.
- Pacemaker performance was monitored over a one-year follow-up.
- The patient reported feeling well with satisfactory device function.
Implications:
- Abdominal pacemaker implantation with endocardial leads is a viable alternative for complex cases.
- This approach may offer a solution for patients with venous obstruction.
- Further research can explore long-term outcomes of abdominal pacemaker systems.
