Abstract
Up to this time, 369 cases with symptomatic bradyarrhythmia received the implantation of transvenous permanent pacemaker at Hiroshima Prefectural Hospital. In 11 cases among them, the internal jugular vein was used to insert the electrode lead into the right ventricle because of difficulty in insertion of it through the brachiocephalic vein or the external jugular vein. There was not found any remarkable trouble or complication during the implantation of pacemaker and the postoperative course in those 11 cases. It might be, therefore, said that the internal jugular vein could be used safely for implantation of transvenous permanent pacemaker.
