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 : 001E82 ( Pmc/Corpus ); précédent : 001E81; suivant : 001E83Defibrillation 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 ; Hideo Okamura ; Syunsuke Sato ; Ikutaro Nakajima ; Kohei Ishibashi ; Kouji Miyamoto ; Takashi Noda ; Takeshi Aiba ; Shiro Kamakura ; Junjiro Kobayashi ; Satoshi Yasuda ; Hisao Ogawa ; Kengo KusanoSource :
- 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
Links to Exploration step
PMC:4550200Le document en format XML
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<author><name sortKey="Otsuka, Yosuke" sort="Otsuka, Yosuke" uniqKey="Otsuka Y" first="Yosuke" last="Otsuka">Yosuke Otsuka</name>
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<author><name sortKey="Okamura, Hideo" sort="Okamura, Hideo" uniqKey="Okamura H" first="Hideo" last="Okamura">Hideo Okamura</name>
<affiliation><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>
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<affiliation><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff>
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<affiliation><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff>
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<author><name sortKey="Noda, Takashi" sort="Noda, Takashi" uniqKey="Noda T" first="Takashi" last="Noda">Takashi Noda</name>
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<author><name sortKey="Aiba, Takeshi" sort="Aiba, Takeshi" uniqKey="Aiba T" first="Takeshi" last="Aiba">Takeshi Aiba</name>
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<author><name sortKey="Kamakura, Shiro" sort="Kamakura, Shiro" uniqKey="Kamakura S" first="Shiro" last="Kamakura">Shiro Kamakura</name>
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<author><name sortKey="Kobayashi, Junjiro" sort="Kobayashi, Junjiro" uniqKey="Kobayashi J" first="Junjiro" last="Kobayashi">Junjiro Kobayashi</name>
<affiliation><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff>
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<author><name sortKey="Yasuda, Satoshi" sort="Yasuda, Satoshi" uniqKey="Yasuda S" first="Satoshi" last="Yasuda">Satoshi Yasuda</name>
<affiliation><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>
</affiliation>
<affiliation><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff>
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<author><name sortKey="Ogawa, Hisao" sort="Ogawa, Hisao" uniqKey="Ogawa H" first="Hisao" last="Ogawa">Hisao Ogawa</name>
<affiliation><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>
</affiliation>
<affiliation><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kusano, Kengo" sort="Kusano, Kengo" uniqKey="Kusano K" first="Kengo" last="Kusano">Kengo Kusano</name>
<affiliation><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>
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<author><name sortKey="Otsuka, Yosuke" sort="Otsuka, Yosuke" uniqKey="Otsuka Y" first="Yosuke" last="Otsuka">Yosuke Otsuka</name>
<affiliation><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>
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<author><name sortKey="Okamura, Hideo" sort="Okamura, Hideo" uniqKey="Okamura H" first="Hideo" last="Okamura">Hideo Okamura</name>
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</affiliation>
<affiliation><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff>
</affiliation>
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<author><name sortKey="Sato, Syunsuke" sort="Sato, Syunsuke" uniqKey="Sato S" first="Syunsuke" last="Sato">Syunsuke Sato</name>
<affiliation><nlm:aff id="aff0015">Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</nlm:aff>
</affiliation>
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<author><name sortKey="Nakajima, Ikutaro" sort="Nakajima, Ikutaro" uniqKey="Nakajima I" first="Ikutaro" last="Nakajima">Ikutaro Nakajima</name>
<affiliation><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>
</affiliation>
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<author><name sortKey="Ishibashi, Kohei" sort="Ishibashi, Kohei" uniqKey="Ishibashi K" first="Kohei" last="Ishibashi">Kohei Ishibashi</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Miyamoto, Kouji" sort="Miyamoto, Kouji" uniqKey="Miyamoto K" first="Kouji" last="Miyamoto">Kouji Miyamoto</name>
<affiliation><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>
</affiliation>
<affiliation><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Noda, Takashi" sort="Noda, Takashi" uniqKey="Noda T" first="Takashi" last="Noda">Takashi Noda</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Aiba, Takeshi" sort="Aiba, Takeshi" uniqKey="Aiba T" first="Takeshi" last="Aiba">Takeshi Aiba</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Kamakura, Shiro" sort="Kamakura, Shiro" uniqKey="Kamakura S" first="Shiro" last="Kamakura">Shiro Kamakura</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Kobayashi, Junjiro" sort="Kobayashi, Junjiro" uniqKey="Kobayashi J" first="Junjiro" last="Kobayashi">Junjiro Kobayashi</name>
<affiliation><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Yasuda, Satoshi" sort="Yasuda, Satoshi" uniqKey="Yasuda S" first="Satoshi" last="Yasuda">Satoshi Yasuda</name>
<affiliation><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>
</affiliation>
<affiliation><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ogawa, Hisao" sort="Ogawa, Hisao" uniqKey="Ogawa H" first="Hisao" last="Ogawa">Hisao Ogawa</name>
<affiliation><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>
</affiliation>
<affiliation><nlm:aff id="aff0010">Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kusano, Kengo" sort="Kusano, Kengo" uniqKey="Kusano K" first="Kengo" last="Kusano">Kengo Kusano</name>
<affiliation><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>
</affiliation>
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<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>
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<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>
<pmc article-type="brief-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Arrhythm</journal-id>
<journal-id journal-id-type="iso-abbrev">J Arrhythm</journal-id>
<journal-title-group><journal-title>Journal of Arrhythmia</journal-title>
</journal-title-group>
<issn pub-type="ppub">1880-4276</issn>
<issn pub-type="epub">1883-2148</issn>
<publisher><publisher-name>Japanese Heart Rhythm Society</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26336550</article-id>
<article-id pub-id-type="pmc">4550200</article-id>
<article-id pub-id-type="publisher-id">S1880-4276(14)00151-3</article-id>
<article-id pub-id-type="doi">10.1016/j.joa.2014.09.003</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Defibrillation lead placement using a transthoracic transatrial approach in a case without transvenous access due to lack of the right superior vena cava</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Otsuka</surname>
<given-names>Yosuke</given-names>
</name>
<email>yosu4420@yahoo.co.jp</email>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="cor1" ref-type="corresp">⁎</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Okamura</surname>
<given-names>Hideo</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="aff0010" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sato</surname>
<given-names>Syunsuke</given-names>
</name>
<xref rid="aff0015" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nakajima</surname>
<given-names>Ikutaro</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ishibashi</surname>
<given-names>Kohei</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Miyamoto</surname>
<given-names>Kouji</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="aff0010" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Noda</surname>
<given-names>Takashi</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Aiba</surname>
<given-names>Takeshi</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kamakura</surname>
<given-names>Shiro</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kobayashi</surname>
<given-names>Junjiro</given-names>
</name>
<xref rid="aff0010" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yasuda</surname>
<given-names>Satoshi</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="aff0010" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ogawa</surname>
<given-names>Hisao</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="aff0010" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kusano</surname>
<given-names>Kengo</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
</contrib>
</contrib-group>
<aff id="aff0005"><label>a</label>
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</aff>
<aff id="aff0010"><label>b</label>
Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan</aff>
<aff id="aff0015"><label>c</label>
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan</aff>
<author-notes><corresp id="cor1"><label>⁎</label>
Corresponding author. Tel.: +81 6 6833 5012; fax: +81 6 6872 7486. <email>yosu4420@yahoo.co.jp</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>22</day>
<month>10</month>
<year>2014</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>6</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>22</day>
<month>10</month>
<year>2014</year>
</pub-date>
<volume>31</volume>
<issue>3</issue>
<fpage>159</fpage>
<lpage>162</lpage>
<history><date date-type="received"><day>11</day>
<month>1</month>
<year>2014</year>
</date>
<date date-type="rev-recd"><day>19</day>
<month>8</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>5</day>
<month>9</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>© 2014 Japanese Heart Rhythm Society. Published by Elsevier B.V. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>Japanese Heart Rhythm Society</copyright-holder>
</permissions>
<abstract><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>
</abstract>
<kwd-group><title>Keywords</title>
<kwd>Implantable cardioverter defibrillator</kwd>
<kwd>Left superior vena cava</kwd>
<kwd>Transthoracic transatrial</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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