Guo Lanyan, Zhang Minxia, Zhao Ying, Yan Qun, Feng Xuyang, Tao Ling
Department of Cardiology, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
BMC Cardiovasc Disord. 2025 Jan 30;25(1):63. doi: 10.1186/s12872-025-04511-3.
In case of venous route abnormality during a leadless pacemaker (LP) implantation, it can be challenging if we still performed via the predesigned femoral vein. We report a patient with normal preoperative laboratory and image results, but azygos continuation of the inferior vena cava (IVC) was suspected during the procedure. Then, we decided to change the implantation strategy, the LP implantation was successfully performed via right jugular vein instead of the classical IVC route. Finally, venous computed tomography (CT) angiography was conducted to testify such venous developmental abnormality. CLINICAL TRIAL NUMBER: Not applicable.
在无导线起搏器（LP）植入过程中，如果出现静脉路径异常，若仍按预先设计的经股静脉途径进行操作可能具有挑战性。我们报告一例患者，术前实验室检查和影像学结果正常，但在手术过程中怀疑存在下腔静脉（IVC）奇静脉延续。然后，我们决定改变植入策略，经右颈静脉而非经典的经IVC途径成功进行了LP植入。最后，进行了静脉计算机断层扫描（CT）血管造影以证实这种静脉发育异常。临床试验编号：不适用。
