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Figure 4: The RV lead is placed via a transhepatic approach in a 12-year-old girl for symptomatic recurrent asystolic pauses following a motor vehicular accident. She had multiple fractures of her vertebral column requiring placement of a cranial halo with traction. The access to the usual veins was limited, and therefore the lead was placed via transhepatic approach

Figure 4: The RV lead is placed via a transhepatic approach in a 12-year-old girl for symptomatic recurrent asystolic pauses following a motor vehicular accident. She had multiple fractures of her vertebral column requiring placement of a cranial halo with traction. The access to the usual veins was limited, and therefore the lead was placed via transhepatic approach