Contralateral transvenous left ventricular lead placement of an implantable device with pre‐sternal tunneling in an ipsilateral chronically obstructed subclavian vein
Ibrahim Antoun, Sotirios Dardas, Islam Mubashwirul, Abu‐Tariq Taher, Nauman Ahmed
TL;DR
A new method is described for placing a heart device lead when a vein is blocked, using the opposite side and a tunneling technique.
Contribution
A novel approach for left ventricular lead placement in patients with obstructed subclavian veins is proposed.
Findings
Contralateral lead placement with pre-sternal tunneling is a feasible solution for obstructed venous access.
The procedure can be performed under conscious sedation, avoiding more invasive techniques.
Abstract
Multiple methods are used to tackle ipsilateral obstructed venous access in patients undergoing a device upgrade by implanting a new left ventricular lead. One feasible solution to tackle this is implantation of the upgrade lead contralaterally with pre‐sternal tunnelization to the opposite side under conscious sedation.
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Taxonomy
TopicsCardiac Arrhythmias and Treatments · Cardiac pacing and defibrillation studies · Congenital Heart Disease Studies