Scimago Lab
powered by Scopus
eISSN: 1941-5923
call: +1.631.629.4328
Mon-Fri 10 am - 2 pm EST


Medical Science Monitor Basic Research


Get your full text copy in PDF

Utilization of the right internal jugular vein on biventricular pacing

Adriss Faraj, Naga V.A. Kommuri, Erik Saulitis, Ramegowda Rajagopal, Mukarram A. Siddiqui

Am J Case Rep 2009; 10:152-154

ID: 878217

Background: Cardiac resynchronization therapy by Biventricular pacing has emerged as a novel therapeutic option for patients with heart failure who continue to be symptomatic despite optimal medical therapy. The left cephalic – axillary – subclavian venous route is commonly used for left ventricular pacing but is not always accessible.
Case Report: A 61-year-old Afro-American female with a known history of NYHA [New York Heart Association] class 4 heart failure, wide QRS complex continued to be symptomatic despite being on maximal medical treatment making her a suitable candidate for cardiac resynchronization therapy. Previous attempt to implant a left ventricular (LV) pacing lead during implantable cardioverter defibrillator was unsuccessful due to unexpected diffi culty associated with accessing the coronary sinus so coronary sinus was cannulated using right internal jugular approach.
Conclusions: In technically impossible right sided coronary sinus cannulation right internal jugular approach is a reasonable alternative before opting for more invasive epicardial approach.

Keywords: biventricular pacing, Electrophysiologic Techniques, Cardiac, Internal jugular vein

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree