Diagnostic imaging and pacemaker implantation in a domestic goat with persistent left cranial vena cava.
Diagnostic imaging and pacemaker implantation in a domestic goat with persistent left cranial vena cava.
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对左颅腔静脉持续存在的家山羊进行诊断成像和起搏器植入。
DOI：
10.1016/j.jvc.2013.11.001
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Marrouche,NassirF
中科院分区：
文献类型：
--
作者：
Ranjan,Ravi;Dosdall,Derek;Norlund,Layne;Higuchi,Koji;Silvernagel,JoshuaM;Olsen,AaronL;Davies,ChristopherJ;MacLeod,Rob;Marrouche,NassirF
作为正在进行的快速心房起搏诱发房颤研究项目的一部分，在临床正常山羊的电极导线和起搏器植入过程中，通过左颈静脉插入右心房起搏电极导线时遇到困难。异常电极导线推进路径的X线透视可视化提示血管造影评估，显示持续性左颅腔静脉（PLCVC）和与右心房连通的突出冠状窦。血管造影有助于成功推进并将起搏电极导线固定到房间隔右侧。心脏磁共振成像/磁共振血管造影（MRI/MRA）允许进一步表征这种罕见的静脉异常。尽管在山羊中报告过一次PLCVC，但据作者所知，这是首次报告包括PLCVC和冠状窦突出的MRI/MRA表征，并使用PLCVC成功植入心脏起搏器。
Difficulty was encountered with the insertion of a right atrial pacing lead via the left jugular vein during lead and pacemaker implantation in a clinically normal goat as part of an ongoing rapid atrial pacing – induced atrial fibrillation research project. Fluoroscopic visualization of an abnormal lead advancement path prompted angiographic assessment which revealed a persistent left cranial vena cava (PLCVC) and prominent coronary sinus communicating with the right atrium. Angiography facilitated successful advancement and securing of the pacing lead into the right side of the interatrial septum. Cardiac magnetic resonance imaging/magnetic resonance angiography (MRI/MRA) allowed further characterization of this rare venous anomaly. Even though PLCVC has been reported once in a goat, to the authors' knowledge this is the first report to include MRI/MRA characterization of PLCVC and prominent coronary sinus with successful cardiac pacemaker implantation using the PLCVC.