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Transvenous cardiac implantable electronic device implantation in patients with persistent left superior vena cava in a tertiary center

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Abstract

Purpose

Persistent left superior vena cava (PLSVC) is rare and often asymptomatic, which might cause difficulties in the implantation of cardiac implantable electronic devices (CIEDs). The aim of this study was to determine the prevalence of PLSVC and to study the clinical characteristics and significance of PLSVC in patients with CIED implantation.

Methods

Thirty-three patients with PLSVC were collected from 7047 CIED recipients over recent 10 years in our center. These 33 patients were divided into three groups: PLSVC in the absence of RSVC, with a pacemaker implantation (group A, n = 7); double superior vena cava (DSVC), having both PLSVC and RSVC, with a pacemaker or implantable cardioverter defibrillator (ICD) implantation (group B, n = 20); DSVC with a cardiac resynchronization therapy/cardiac resynchronization therapy defibrillator (CRT/CRT-D) implantation (group C, n = 6). The clinical characteristics, pacing parameters, and complications were collected and compared among three groups.

Results

The prevalence of PLSVC in our patients implanting CIEDs in the recent 10 years was 0.47%. Coronary sinus diameter, right atrium lead type (active or passive), right atrium lead location (right atrium appendage or lateral wall), right ventricle lead location (right ventricular apex or right ventricular outflow tract), and procedure duration were found to be significantly different among three groups, while the incidence of complications and pacing parameters was not significantly different among three groups during long-term follow-up.

Conclusions

Although the presence of PLSVC made the CIED implantation more challenging and might increase the complications related to the procedure, the pacing parameters were not likely to be affected during long-term follow-up.

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Author information

Author notes

  1. Xueying Chen and Ziqing Yu contributed equally to this work.

Authors and Affiliations

  1. Shanghai Institution of Cardiovascular Disease, Department of Cardiology, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China

    Xueying Chen, Ziqing Yu, Jin Bai, Wei Wang, Shengmei Qin, Jingfeng Wang, Zhe Sun, Fei Han, Yangang Su & Junbo Ge

Authors
  1. Xueying Chen
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  2. Ziqing Yu
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  3. Jin Bai
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  4. Wei Wang
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  5. Shengmei Qin
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  6. Jingfeng Wang
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  7. Zhe Sun
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  8. Fei Han
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  9. Yangang Su
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  10. Junbo Ge
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Corresponding author

Correspondence to Yangang Su.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study was approved by the Institutional Review Board of Zhongshan Hospital, Fudan University, Shanghai, China.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Chen, X., Yu, Z., Bai, J. et al. Transvenous cardiac implantable electronic device implantation in patients with persistent left superior vena cava in a tertiary center. J Interv Card Electrophysiol 53, 255–262 (2018). https://doi.org/10.1007/s10840-018-0377-4

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  • DOI: https://doi.org/10.1007/s10840-018-0377-4

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