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Cardiology Research and Practice
Volume 2011, Article ID 372026, 3 pages
Case Report

Achievement of Right Ventricular Pacing by Use of a Long Guiding Catheter in a Hemodialysis Patient Presenting Significant Tortuosity of Vasculature

1st University Department of Cardiology, Hippokration Hospital, 155 61 Athens, Greece

Received 25 October 2010; Accepted 24 February 2011

Academic Editor: Gavin W. Lambert

Copyright © 2011 Polychronis Dilaveris et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Increased vascular calcification and tortuosity are rather common in end-stage renal failure patients who are on hemodialysis. It renders manipulation of catheters and performance of percutaneous transluminal interventions more difficult than expected. Such vascular alterations may be evident in large veins and pose significant difficulties in placement of pacing leads as shown in our case. To overcome such difficulties, we demonstrated in this patient case that long guiding catheters may be of particular value.