The prevalence of superior vena cava anomalies as detected in cardiac implantable electronic device recipients at a tertiary cardiology centre over a 12-year period.

Steckiewicz, Roman; Kosior, Dariusz A.; Rosiak, Marek; Świętoń, Elżbieta Barbara; Stolarz, Przemysław; Grabowski, Marcin

doi:10.1016/j.hjc.2016.03.003

Cited by 15 publications

(9 citation statements)

References 22 publications

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“…2C, D). This aetiology may be supported by reports that include the morphometry and topography of fully developed PLSVC [16]. In the case presented here, the remaining part of the PLSVC may have undergone physiological atrophy in the embryonic period.…”

Section: Discussionsupporting

confidence: 78%

“…In rare cases of isolated PLSVC the "venous bridge" formed by both BCVs is connected only to the PLSVC due to agenesis of the right SVC. An equally rare variation is the presence of bilateral SVC with concomitant agenesis of both BCVs [9,15,16].…”

Section: Discussionmentioning

confidence: 99%

“…One of the consequences of developmental venous anomalies is the presence of a persistent left superior vena cava (PLSVC), detected in 0.3-0.5% of the general population, and occurring in three anatomical variations, differing in terms of the presence and course of the BCV [4,9,15,16].…”

Section: Introductionmentioning

confidence: 99%

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A rare vascular anomaly in the form of double left brachiocephalic vein detected incidentally during cardiac implantable electronic device (CIED) placement

Steckiewicz¹,

Świętoń²,

Stolarz³

2018

Folia Morphol

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

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A rare vascular anomaly in the form of double left brachiocephalic vein detected incidentally during cardiac implantable electronic device (CIED) placement

Steckiewicz¹,

Świętoń²,

Stolarz³

2018

Folia Morphol

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“…SVC variants. Left-sided SVC [1][2][3][4][5] (Figure 1): it origins from the confluence of the left subclavian and jugular veins and travels laterally to the aortic arch. Its presence is due to the persistence of the left ACV, left CCV and the left horn of the sinus venosus.…”

Section: Embryogenesismentioning

confidence: 99%

Multidetector-row CT imaging evaluation of superior and inferior vena cava normal anatomy and caval variants: Report of our cases and literature review with embryologic correlation

et al. 2018

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Objective To assess the potential of multidetector-row computed tomography imaging and its reformations in the evaluation of the superior and inferior vena cava normal anatomy and their anatomical variants, and to make a brief review of caval embryogenesis and developmental errors. Methods We retrospectively reviewed a total of 1000 whole-body computed tomography scans performed between January 2010 and December 2016 to assess the normal superior and inferior vena cava anatomy and their variants. Results The normal superior and inferior vena cava anatomy was found in 88.9% of patients, whereas multiple variants were found, ranging from the superior or inferior vena cava duplication, to the azygos continuation of the inferior vena cava. Conclusions Computed tomography is a powerful tool to analyse superior and inferior vena cava anatomical variants. The knowledge and assessment of normal caval anatomy and of its anatomical variants is mandatory in the correct pre-operative planning in surgical and radiological interventions. Knowledge of caval variants is helpful in the differential diagnosis of abdominal or mediastinal masses, to avoid misdiagnosis, as well as in the screening of associated congenital pathologic conditions.

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“…Developmental anomalies of the left BCV may occur in isolation or coexist with various variations of the persistent left superior vena cava (PLSVC). This type of systemic vein aberrations is found in 0.3-0.5% of individuals from the general population [9,10,11,12,13].…”

Section: Introductionmentioning

confidence: 96%

Types of left brachiocephalic vein aberrations detected during cardiac implantable electronic device implantation procedures

2021

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Background: Cardiac implantable electronic device (CIED) implantation procedures with transvenous lead placement afford an opportunity to observe vascular anatomic variations.The course of CIED implantation depends largely on morphometric and topographic characteristics of the relevant brachiocephalic vein (BCV), which is the left BCV in the case of lead insertion via the left clavipectoral triangle. This study aims to present left BCV anomalies arising from abnormal systemic vein embryogenesis and encountered during CIED implantation.Materials and methods: Venograms obtained during CIED implantation procedures and illustrating left BCV topography/morphometry were analyzed retrospectively for two types of anomalies: anomalies of the left BCV itself (data from the period 2014-2018) and a combination of left BCV variations with a persistent left superior vena cava (PLSVC); since the latter instances are rare, the analyzed period was longer (2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018).Results: Analysis of data from the first, 5-year-long, period included data from a group of 1,812 patients and revealed 5 cases (0.3%) of developmental left-BCV anomalies (3 double left BCV and 2 cases of a single subaortic left BCV). The 16-year long analyzed period included 6,110 CIED implantation procedures, which showed 12 cases of PLSVC (0.2%) including 4 cases (33%) of left BCV agenesis. 2 Conclusions:The analyzed venograms rarely showed isolated left-BCV aberrations (0.3%), with the combination of left-BCV agenesis and PLSVC being much more common (33%). The morphometry and/or topography of aberrant left-BCV may result in difficulties during cardiac lead insertion.

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The prevalence of superior vena cava anomalies as detected in cardiac implantable electronic device recipients at a tertiary cardiology centre over a 12-year period.

Cited by 15 publications

References 22 publications

A rare vascular anomaly in the form of double left brachiocephalic vein detected incidentally during cardiac implantable electronic device (CIED) placement

A rare vascular anomaly in the form of double left brachiocephalic vein detected incidentally during cardiac implantable electronic device (CIED) placement

Multidetector-row CT imaging evaluation of superior and inferior vena cava normal anatomy and caval variants: Report of our cases and literature review with embryologic correlation

Types of left brachiocephalic vein aberrations detected during cardiac implantable electronic device implantation procedures

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