Evidence map›Paper›PMID 42614637›Full record

ArticleCase reports in cardiology2026

Right-Sided Dual-Chamber Left Bundle Branch Area Pacing in Persistent Left Superior Vena Cava: A Case Report on Personalized Conduction System Pacing.

Dhan Bahadur Shrestha, Ashlesha Chaudhary, Aamir Gilani, Jurgen Shtembari, James A Storey

Abstract read
In one paragraph

Article in Case reports in cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dhan Bahadur ShresthaDivision of Cardiology, Department of Internal Medicine, Bassett Medical Center, Cooperstown, New York, USA, bassett.org.ORCID https://orcid.org/0000-0002-8121-083X
Ashlesha ChaudharyDepartment of Internal Medicine, Bassett Medical Center, Cooperstown, New York, USA, bassett.org.ORCID https://orcid.org/0000-0002-7870-9664
Aamir GilaniDivision of Cardiology, Department of Internal Medicine, Bassett Medical Center, Cooperstown, New York, USA, bassett.org.ORCID https://orcid.org/0000-0003-0922-1654
Jurgen ShtembariDivision of Cardiology, Department of Internal Medicine, Carle Foundation Hospital, Urbana, Illinois, USA, carle.org.ORCID https://orcid.org/0000-0001-6071-4257
James A StoreyDivision of Electrophysiology, Department of Internal Medicine, Memorial Medical Center, Las Cruces, NM, USA, memorialmedical.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Persistent left superior vena cava (PLSVC) can complicate transvenous device implantation due to challenging venous anatomy and limited sheath support during physiologic pacing lead delivery. Case Summary: A woman in her mid-40s evaluated for a syncopal episode had ambulatory electrocardiography showing high-grade atrioventricular block with prolonged pauses, deemed irreversible, leading to plans for a permanent pacemaker. Intraprocedural venography identified a PLSVC. A right-sided dual chamber left bundle branch area pacing (LBBAP) was successfully performed. The procedure was uncomplicated, and follow-up with cardiology was arranged. Discussion: Right-sided LBBAP can be feasible and associated with positive outcomes in patients with PLSVC, and it should be considered a strong option when traditional venous routes are difficult. Early detection and adaptable pacing strategies are essential for maximizing outcomes in such patients.

Indexed as

atrioventricular blockcardiac implantable electronic deviceconduction system pacingcongenital venous anomalyphysiologic pacingvenography

Identifiers

PMID42614637
PMCPMC13482179

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.