Defibrillation lead placement using a transthoracic transatrial approach in a case without transvenous access due to lack of the right superior vena cava
Identifieur interne : 007839 ( Ncbi/Curation ); précédent : 007838; suivant : 007840Defibrillation lead placement using a transthoracic transatrial approach in a case without transvenous access due to lack of the right superior vena cava
Auteurs : Yosuke Otsuka [Japon] ; Hideo Okamura [Japon] ; Syunsuke Sato [Japon] ; Ikutaro Nakajima [Japon] ; Kohei Ishibashi [Japon] ; Kouji Miyamoto [Japon] ; Takashi Noda [Japon] ; Takeshi Aiba [Japon] ; Shiro Kamakura [Japon] ; Junjiro Kobayashi [Japon] ; Satoshi Yasuda [Japon] ; Hisao Ogawa [Japon] ; Kengo Kusano [Japon]Source :
- Journal of Arrhythmia [ 1880-4276 ] ; 2014.
Abstract
A 65-year-old woman with a history of syncope was diagnosed with hypertrophic cardiomyopathy. She had previously undergone mastectomy of the left breast owing to breast cancer. Holter electrocardiogram (ECG) and monitor ECG revealed sick sinus syndrome (Type II) and non-sustained ventricular tachycardia. Sustained ventricular tachycardia and ventricular fibrillation were induced in an electrophysiological study. Although the patient was eligible for treatment with a dual chamber implantable cardioverter defibrillator (ICD), venography revealed lack of the right superior vena cava (R-SVC). Lead placement from the left subclavian vein would have increased the risk of lymphedema owing to the patient׳s mastectomy history. Consequently, the defibrillation lead was placed in the right ventricle by direct puncture of the right auricle through the tricuspid valve. The atrial lead was sutured to the atrial wall, and the postoperative course was unremarkable. Defibrillation lead placement using a transthoracic transatrial approach can be an alternative method in cases where a transvenous approach for lead placement is not feasible.
Url:
DOI: 10.1016/j.joa.2014.09.003
PubMed: 26336550
PubMed Central: 4550200
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5658565</wicri:noRegion></affiliation></author><author><name sortKey="Miyamoto, Kouji" sort="Miyamoto, Kouji" uniqKey="Miyamoto K" first="Kouji" last="Miyamoto">Kouji Miyamoto</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University</wicri:regionArea><wicri:noRegion>Kumamoto University</wicri:noRegion></affiliation></author><author><name sortKey="Noda, Takashi" sort="Noda, Takashi" uniqKey="Noda T" first="Takashi" last="Noda">Takashi Noda</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation></author><author><name sortKey="Aiba, Takeshi" sort="Aiba, Takeshi" uniqKey="Aiba T" first="Takeshi" last="Aiba">Takeshi Aiba</name><affiliation wicri:level="1"><nlm:aff 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sortKey="Okamura, Hideo" sort="Okamura, Hideo" uniqKey="Okamura H" first="Hideo" last="Okamura">Hideo Okamura</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University</wicri:regionArea><wicri:noRegion>Kumamoto University</wicri:noRegion></affiliation></author><author><name sortKey="Sato, Syunsuke" sort="Sato, Syunsuke" uniqKey="Sato S" first="Syunsuke" last="Sato">Syunsuke Sato</name><affiliation wicri:level="1"><nlm:aff id="aff0015">Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation></author><author><name sortKey="Nakajima, Ikutaro" sort="Nakajima, Ikutaro" uniqKey="Nakajima I" first="Ikutaro" last="Nakajima">Ikutaro Nakajima</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation></author><author><name sortKey="Ishibashi, Kohei" sort="Ishibashi, Kohei" uniqKey="Ishibashi K" first="Kohei" last="Ishibashi">Kohei Ishibashi</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation></author><author><name sortKey="Miyamoto, Kouji" sort="Miyamoto, Kouji" uniqKey="Miyamoto K" first="Kouji" last="Miyamoto">Kouji Miyamoto</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University</wicri:regionArea><wicri:noRegion>Kumamoto University</wicri:noRegion></affiliation></author><author><name sortKey="Noda, Takashi" sort="Noda, Takashi" uniqKey="Noda T" first="Takashi" last="Noda">Takashi Noda</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation></author><author><name sortKey="Aiba, Takeshi" sort="Aiba, Takeshi" uniqKey="Aiba T" first="Takeshi" last="Aiba">Takeshi Aiba</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation></author><author><name sortKey="Kamakura, Shiro" sort="Kamakura, Shiro" uniqKey="Kamakura S" first="Shiro" last="Kamakura">Shiro Kamakura</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation></author><author><name sortKey="Kobayashi, Junjiro" sort="Kobayashi, Junjiro" uniqKey="Kobayashi J" first="Junjiro" last="Kobayashi">Junjiro Kobayashi</name><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University</wicri:regionArea><wicri:noRegion>Kumamoto University</wicri:noRegion></affiliation></author><author><name sortKey="Yasuda, Satoshi" sort="Yasuda, Satoshi" uniqKey="Yasuda S" first="Satoshi" last="Yasuda">Satoshi Yasuda</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University</wicri:regionArea><wicri:noRegion>Kumamoto University</wicri:noRegion></affiliation></author><author><name sortKey="Ogawa, Hisao" sort="Ogawa, Hisao" uniqKey="Ogawa H" first="Hisao" last="Ogawa">Hisao Ogawa</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University</wicri:regionArea><wicri:noRegion>Kumamoto University</wicri:noRegion></affiliation></author><author><name sortKey="Kusano, Kengo" sort="Kusano, Kengo" uniqKey="Kusano K" first="Kengo" last="Kusano">Kengo Kusano</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565</wicri:regionArea><wicri:noRegion>Osaka 5658565</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Arrhythmia</title><idno type="ISSN">1880-4276</idno><idno type="eISSN">1883-2148</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A 65-year-old woman with a history of syncope was diagnosed with hypertrophic cardiomyopathy. She had previously undergone mastectomy of the left breast owing to breast cancer. Holter electrocardiogram (ECG) and monitor ECG revealed sick sinus syndrome (Type II) and non-sustained ventricular tachycardia. Sustained ventricular tachycardia and ventricular fibrillation were induced in an electrophysiological study. Although the patient was eligible for treatment with a dual chamber implantable cardioverter defibrillator (ICD), venography revealed lack of the right superior vena cava (R-SVC). Lead placement from the left subclavian vein would have increased the risk of lymphedema owing to the patient׳s mastectomy history. Consequently, the defibrillation lead was placed in the right ventricle by direct puncture of the right auricle through the tricuspid valve. The atrial lead was sutured to the atrial wall, and the postoperative course was unremarkable. Defibrillation lead placement using a transthoracic transatrial approach can be an alternative method in cases where a transvenous approach for lead placement is not feasible.</p></div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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