Benefits of lead delivery using a guidewire in pacemaker lead insertion

Cardiology
Case Report
10.1102/1470-5206.2011.0023
11
107-110
Benefits of lead delivery using a guidewire in pacemaker lead insertion

Pacemaker implantation is an established therapy for patients with sinus node disease or atrioventricular block. However, we sometimes encounter cases in which delivery of the leads is technically difficult. The buddy wire technique is known to be useful in delivering stents when difficulties are encountered due to vessel tortuosity or calcification during percutaneous coronary intervention. In this report, we present two successful cases of lead delivery using a guidewire when it was difficult to pass the pacing lead through the brachiocephalic vein due to an acute angle.

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Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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