Permanent Pacemaker Implantation via the Iliac Vein

An Alternative in 4 Cases with Contraindications to the Pectoral Approach

Koji Tsutsumi, Kenichi Hashizume, Naritaka Kimura, Shinichi Taguchi, Yoshito Inoue, Ichiro Kashima, Ryuichi Takahashi

Research output: Contribution to journalArticle

Abstract

We report the outcome of the iliac vein approach for permanent pacemaker implantation in 4 patients in whom the conventional pectoral approach was not possible. The reasons for using the iliac vein approach were: recurrent lead infections at bilateral pectoral positions in 1 patient; superior vena cava obstruction following cardiac surgery in 2 patients; and a postoperative dermal scar due to right radical mastectomy secondary to a persistent left superior vena cava with absence of the innominate vein in 1 patient. This technique was safe and effective during the mean follow-up period of 24.3 months. At the latest follow-up, no patients showed signs of electrophysiological abnormalities. No short- or long-term complications were seen. Conclusions: The iliac vein approach is a less invasive and more feasible alternative without any complications for patients in whom the pectoral approach cannot be used.

Original languageEnglish
Pages (from-to)55-61
Number of pages7
JournalJournal of Arrhythmia
Volume26
Issue number1
DOIs
Publication statusPublished - 2010 Jan 1
Externally publishedYes

Fingerprint

Iliac Vein
Brachiocephalic Veins
Radical Mastectomy
Superior Vena Cava Syndrome
Superior Vena Cava
Thoracic Surgery
Cicatrix
Skin
Infection

Keywords

  • Iliac vein approach
  • Pacemaker implantation
  • Pectoral approach

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Permanent Pacemaker Implantation via the Iliac Vein : An Alternative in 4 Cases with Contraindications to the Pectoral Approach. / Tsutsumi, Koji; Hashizume, Kenichi; Kimura, Naritaka; Taguchi, Shinichi; Inoue, Yoshito; Kashima, Ichiro; Takahashi, Ryuichi.

In: Journal of Arrhythmia, Vol. 26, No. 1, 01.01.2010, p. 55-61.

Research output: Contribution to journalArticle

Tsutsumi, Koji ; Hashizume, Kenichi ; Kimura, Naritaka ; Taguchi, Shinichi ; Inoue, Yoshito ; Kashima, Ichiro ; Takahashi, Ryuichi. / Permanent Pacemaker Implantation via the Iliac Vein : An Alternative in 4 Cases with Contraindications to the Pectoral Approach. In: Journal of Arrhythmia. 2010 ; Vol. 26, No. 1. pp. 55-61.
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