Successful Biventricular Pacemaker Implantation via Right Iliac Vein Rou

Inguinal Pacemaker Implantation

Abstract

In this report, we describe an alternative approach for a case that was unsuitable for pacemaker implantation via the vena cava route. The patient was pacemaker-dependent and did not have suitable venous access for permanent pacemaker implantation, so we used the transiliac approach. In the current literature, there are a limited number of case series reported in which the transiliac route was utilized. As far as we know, our case is the first reported biventricular pacemaker implantation via the iliac vein route. The transiliac implantation approach is a method to consider in cases that are unsuitable for the regular superior vena cava approach or who have a high risk for thoracotomy. We suggest that it is critical to use leads with appropriate lengths that suit the patient's height and to utilize auxiliary catheters to maintain stable implantation.