AN ALTERNATIVE APPROACH TO PERMANENT PACE MAKER IMPLANTATION

Subclavian Vein is the commonest vessel used to access right sided cardiac chambers during permanent cardiac pacing. When implantation via this vein is not possible or contraindicated, the majority of patients undergo thoracotomy and epicardial lead placement. However, a femoral vein approach offers a less invasive option that is associated with lower morbidity compared to epicardial lead placement. Despite this, there is very limited literature on femoral pacing. This technique of permanent pacemaker implantation has been used since the early 1980s. This case report is about permanent pacemaker implantation through femoral vein in a patient with contraindication to usual subclavian approach.