The dilemma of transvenous cardiac rhythm devices in hemodialysis patients: time to consider the epicardial approach? Arif Asif, Loay H. Salman, Gustavo.

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Presentation transcript:

The dilemma of transvenous cardiac rhythm devices in hemodialysis patients: time to consider the epicardial approach? Arif Asif, Loay H. Salman, Gustavo G. Lopera, Roger G. Carrillo Kidney International Volume 79, Issue 12, Pages 1267-1269 (June 2011) DOI: 10.1038/ki.2011.53 Copyright © 2011 International Society of Nephrology Terms and Conditions

Figure 1 Endocardial and epicardial cardiac rhythm devices. (a) Three-dimensional color computed tomography scan. Tesio catheters and the leads are seen traversing the superior vena cava (SVC). Fibrous tissue wrapping these structures is also seen in the SVC. (b) Notice that the leads of an epicardial pacemaker are traversing the subcutaneous tissue (double arrow) to reach the epicardium (arrows), completely bypassing the central veins (seen on angiogram) and the tricuspid valve. Kidney International 2011 79, 1267-1269DOI: (10.1038/ki.2011.53) Copyright © 2011 International Society of Nephrology Terms and Conditions