Arrhythmia Unit, Cardiology Service, Alicante General University Hospital, Alicante Health and Biomedical Research Institute (ISABIAL).
Cardiology Service, Sant Joan d'Alacant University Hospital.
Int Heart J. 2023 Nov 30;64(6):1162-1165. doi: 10.1536/ihj.23-315. Epub 2023 Nov 14.
Persistent left superior vena cava is the most common thoracic venous anomaly. It is usually asymptomatic, but it can make implanting intracardiac devices difficult.We present a novel technique to facilitate desfibrillator lead implantation in patients with persistent left superior vena cava and the absence of the right superior vena cava. We used a fixed-curve Selectra 3D 65-42 cm sheath (Biotronik), orienting it toward the tricuspid valve (TV) by rotating it counter-clockwise. During follow-up, the electrodes remained stable.Our technique was safe, simple, and feasible for patients with this complex venous anatomy.
永存左上腔静脉是最常见的胸静脉异常。它通常无症状，但可能使心脏内装置的植入变得困难。我们提出了一种新的技术，以方便在永存左上腔静脉和无右头臂静脉的患者中植入除颤器导线。我们使用固定弯度的 Selectra 3D 65-42cm 鞘（Biotronik），通过逆时针旋转使其朝向三尖瓣（TV）。在随访期间，电极保持稳定。我们的技术对于这种复杂静脉解剖的患者是安全、简单和可行的。
