All roads lead to the heart, but not always. A complex case of a hemodialysis patient requiring permanent cardiac pacing, with no vascular access for either conventional or leadless pacemaker implantation

Demetra Emanuela Rotaru; Alexandru Achim; Bogdan Vasiliu; Irina Sandu; Stefan Horia Rosianu

doi:10.2478/rjc-2025-0041

.blurhash-client-img { display: none !important; }

All roads lead to the heart, but not always. A complex case of a hemodialysis patient requiring permanent cardiac pacing, with no vascular access for either conventional or leadless pacemaker implantation

Romanian Journal of Cardiology

Volume 36 (2026): Issue 1 (March 2026)

By: Demetra Emanuela Rotaru, Alexandru Achim, Bogdan Vasiliu, Irina Sandu and Stefan Horia Rosianu

Open Access

|Jan 2026

Figures & Tables

Atrial fibrillation, left bundle branch block.

1 A, B Annular calcification extending to the mitral-aortic continuity and aortic root; 2 A-Important left ventricular hypertrophy; B-Toothpaste tumour.

1- Oclussion VCS due to ‘forgotten* dialysis catheter; 2 - Stenosis and oclussion of inferior vena cava and collateral circulation between the left common iliac vein and the left renal vein.

3- Important collateral circulation thoraco-abdominal; 4- Important collateral circulation thoraco-abdominal.

X ray-pacemaker and epicardial lead placement.

References

Authors

Metrics

Articles in this issue

DOI: https://doi.org/10.2478/rjc-2025-0041 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X

Journal RSS Feed

Language: English

Page range: 54 - 58

Published on: Jan 12, 2026

Published by: Romanian Society of Cardiology

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

atrioventricular block

Related subjects:

Surgery,

Pediatrics and juvenile medicine,

Paediatric cardiology

© 2026 Demetra Emanuela Rotaru, Alexandru Achim, Bogdan Vasiliu, Irina Sandu, Stefan Horia Rosianu, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 36 (2026): Issue 1 (March 2026)

All roads lead to the heart, but not always. A complex case of a hemodialysis patient requiring permanent cardiac pacing, with no vascular access for either conventional or leadless pacemaker implantation

Figures & Tables

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Paradigm

My account