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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11150943 | PMC |
| http://dx.doi.org/10.1016/j.cjco.2024.01.014 | DOI Listing |
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Persistent left superior vena cava (PLSVC) is a relatively rare anatomical anomaly, with a higher prevalence in those with congenital heart defects. While typically asymptomatic, its presence can complicate certain medical procedures, particularly cardiac interventions, such as the implantation of cardiac resynchronization therapy (CRT) devices, due to acute angulation. In this report, we discuss the challenges posed by the unanticipated presence of PLSVC during CRT device implantation and describe the technique used for lead placement using Judkins Right catheter for support, placing coronary wire, and later placing the left ventricle (LV) lead with the help of buddy wire technique, resulting in successful insertion of all three CRT leads despite the anatomical challenges.
View Article and Find Full Text PDFUse of the Buddy Judkins Catheter and Stiff Wire Technique to Deliver Sheaths for Catheter Ablation Through Iliac Vein Tortuosity.
CJC Open
May 2024
Department of Cardiology, Sapporo Cardiovascular Clinic, Sapporo, Japan.
An alternative approach in tortuous coronary artery and distal stenosis during transradial percutaneous coronary intervention: deep engagement by a 5-Fr guiding catheter.
Turk Kardiyol Dern Ars
March 2012
Department of Interventional Cardiology, CHU de Caen, Caen, F-14000, France.
Transradial approach for percutaneous interventions has emerged as an alternative to transfemoral access which is known to be more associated with vascular local complications. However, lack of guiding-catheter support via the radial access is one of the problems encountering the operators. Many solutions have been proposed to overcome this problem.
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