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Needle Directed Re‐entry to Cross a Subclavian Occlusion Following Failed Microdissection
Author(s) -
WORLEY SETH JOSEPH,
GOHN DOUGLAS CHARLES,
PULLIAM ROBERT WARD
Publication year - 2007
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.1540-8159.2007.00908.x
Subject(s) - medicine , occlusion , implant , subclavian vein , stenosis , microdissection , cardiology , lead (geology) , subclavian artery , heart failure , surgery , radiology , catheter , biochemistry , chemistry , geomorphology , gene , geology
Patients with existing internal cardioverter defibrillators (ICDs) often require upgrading to a biventricular ICD for treatment of congestive heart failure. Placement of a left ventricular (LV) lead can be technically challenging in the best of circumstances. A subclavian vein stenosis or occlusion related to previously placed leads adds a major obstacle to a successful implant. We report a technique to implant an LV lead from the same side as the existing ICD system despite failed microdissection of a complete occlusion of the subclavian vein.