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. 2011 Nov;11(6):176-9.
Epub 2011 Nov 15.

Placement Of A Coronary Sinus Pacing Lead From A Sub-occluded Left Subclavian Vein Using A Collateral Vein To The Right Subclavian Vein

Marco Brieda  1 , Luca De Mattia, Ermanno Dametto, Federica Del Bianco, Gianluigi Nicolosi
Affiliations

Placement Of A Coronary Sinus Pacing Lead From A Sub-occluded Left Subclavian Vein Using A Collateral Vein To The Right Subclavian Vein

Marco Brieda et al. Indian Pacing Electrophysiol J. 2011 Nov.

Abstract

Upgrading of a pacing system in the presence of a subclavian occlusion is technically challenging. We describe the case of a patient who underwent a successful upgrading procedure of an implantable cardioverter-defibrillator (ICD) to a biventricular defibrillator (ICD-CRT) in the presence of a suboccluded left subclavian vein, using a collateral vein that drained into the contralateral subclavian vein.

Keywords: Collateral circulation; Pacemaker upgrading; Resynchronization therapy; Vein occlusion.

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Figures

Figure 1
Figure 1
A. Venogram, performed with contrast injection in the left basilic vein, demonstrating a suboccluded left subclavian vein (red arrow) and the presence of a collateral vein (white arrows) draining into the right subclavian vein. B. Chest radiograph (anteroposterior view) obtained the day after the procedure. The coronary sinus pacing lead (green arrows) passes from the left subclavian vein to its final position via a collateral vein and the right subclavian vein. The CS lead is placed in a posterior location.
See this image and copyright information in PMC

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