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 : 000F81 ( PubMed/Checkpoint ); précédent : 000F80; suivant : 000F82Defibrillation 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 ] ; 2015.
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.
DOI: 10.1016/j.joa.2014.09.003
PubMed: 26336550
Affiliations:
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<author><name sortKey="Kusano, Kengo" sort="Kusano, Kengo" uniqKey="Kusano K" first="Kengo" last="Kusano">Kengo Kusano</name>
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<front><div type="abstract" xml:lang="en">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.</div>
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<Abstract><AbstractText>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.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Otsuka</LastName>
<ForeName>Yosuke</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Okamura</LastName>
<ForeName>Hideo</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan ; Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sato</LastName>
<ForeName>Syunsuke</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nakajima</LastName>
<ForeName>Ikutaro</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ishibashi</LastName>
<ForeName>Kohei</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Miyamoto</LastName>
<ForeName>Kouji</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan ; Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Noda</LastName>
<ForeName>Takashi</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Aiba</LastName>
<ForeName>Takeshi</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kamakura</LastName>
<ForeName>Shiro</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kobayashi</LastName>
<ForeName>Junjiro</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yasuda</LastName>
<ForeName>Satoshi</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan ; Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ogawa</LastName>
<ForeName>Hisao</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan ; Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kusano</LastName>
<ForeName>Kengo</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 5658565, Japan.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>10</Month>
<Day>22</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Japan</Country>
<MedlineTA>J Arrhythm</MedlineTA>
<NlmUniqueID>101263026</NlmUniqueID>
<ISSNLinking>1880-4276</ISSNLinking>
</MedlineJournalInfo>
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<OtherID Source="NLM">PMC4550200</OtherID>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Implantable cardioverter defibrillator</Keyword>
<Keyword MajorTopicYN="N">Left superior vena cava</Keyword>
<Keyword MajorTopicYN="N">Transthoracic transatrial</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year>
<Month>01</Month>
<Day>11</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2014</Year>
<Month>08</Month>
<Day>19</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2014</Year>
<Month>09</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2015</Year>
<Month>9</Month>
<Day>4</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2015</Year>
<Month>9</Month>
<Day>4</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2015</Year>
<Month>9</Month>
<Day>4</Day>
<Hour>6</Hour>
<Minute>1</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">26336550</ArticleId>
<ArticleId IdType="doi">10.1016/j.joa.2014.09.003</ArticleId>
<ArticleId IdType="pii">S1880-4276(14)00151-3</ArticleId>
<ArticleId IdType="pmc">PMC4550200</ArticleId>
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<affiliations><list><country><li>Japon</li>
</country>
</list>
<tree><country name="Japon"><noRegion><name sortKey="Otsuka, Yosuke" sort="Otsuka, Yosuke" uniqKey="Otsuka Y" first="Yosuke" last="Otsuka">Yosuke Otsuka</name>
</noRegion>
<name sortKey="Aiba, Takeshi" sort="Aiba, Takeshi" uniqKey="Aiba T" first="Takeshi" last="Aiba">Takeshi Aiba</name>
<name sortKey="Ishibashi, Kohei" sort="Ishibashi, Kohei" uniqKey="Ishibashi K" first="Kohei" last="Ishibashi">Kohei Ishibashi</name>
<name sortKey="Kamakura, Shiro" sort="Kamakura, Shiro" uniqKey="Kamakura S" first="Shiro" last="Kamakura">Shiro Kamakura</name>
<name sortKey="Kobayashi, Junjiro" sort="Kobayashi, Junjiro" uniqKey="Kobayashi J" first="Junjiro" last="Kobayashi">Junjiro Kobayashi</name>
<name sortKey="Kusano, Kengo" sort="Kusano, Kengo" uniqKey="Kusano K" first="Kengo" last="Kusano">Kengo Kusano</name>
<name sortKey="Miyamoto, Kouji" sort="Miyamoto, Kouji" uniqKey="Miyamoto K" first="Kouji" last="Miyamoto">Kouji Miyamoto</name>
<name sortKey="Nakajima, Ikutaro" sort="Nakajima, Ikutaro" uniqKey="Nakajima I" first="Ikutaro" last="Nakajima">Ikutaro Nakajima</name>
<name sortKey="Noda, Takashi" sort="Noda, Takashi" uniqKey="Noda T" first="Takashi" last="Noda">Takashi Noda</name>
<name sortKey="Ogawa, Hisao" sort="Ogawa, Hisao" uniqKey="Ogawa H" first="Hisao" last="Ogawa">Hisao Ogawa</name>
<name sortKey="Okamura, Hideo" sort="Okamura, Hideo" uniqKey="Okamura H" first="Hideo" last="Okamura">Hideo Okamura</name>
<name sortKey="Sato, Syunsuke" sort="Sato, Syunsuke" uniqKey="Sato S" first="Syunsuke" last="Sato">Syunsuke Sato</name>
<name sortKey="Yasuda, Satoshi" sort="Yasuda, Satoshi" uniqKey="Yasuda S" first="Satoshi" last="Yasuda">Satoshi Yasuda</name>
</country>
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