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Transvenous Placement of a Pacemaker Lead Through an Introducer Despite Long‐standing Subclavian‐Vein Occlusion
Author(s) -
PARSONNET VICTOR,
BONAVITA GREGORY J.
Publication year - 1991
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1991.tb05094.x
Subject(s) - medicine , subclavian vein , occlusion , vein , lead (geology) , axillary vein , surgery , radiology , thrombosis , catheter , geomorphology , geology
Under ordinary circumstances complete chronic subclavian vein occlusion precludes using that vein for the pacemaker lead. There are circumstances, however, in which a patent vein beyond the obstruction can be reached with an introducer needle, thus permitting transvenous access similar to any other introducer‐assisted implantation. A case exemplifying this point is described. Patency of the right subclavian vein beyond an occlusion was demonstrated by angiography, and a new dual‐chamber pacemaker lead was inserted through that site by use of the introducer method.