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. 2013 Nov 15;13(6):221-5.
doi: 10.1016/s0972-6292(16)30692-1. eCollection 2013 Nov.

Balloon venoplasty of subclavian vein and brachiocephalic junction to enable left ventricular lead placement for cardiac resynchronisation therapy

Thanh Trung Phan  1 , Simon James  1 , Andrew Turley  1
Affiliations

Balloon venoplasty of subclavian vein and brachiocephalic junction to enable left ventricular lead placement for cardiac resynchronisation therapy

Thanh Trung Phan et al. Indian Pacing Electrophysiol J. .

Abstract

This report describes the successful implantation of a LV lead using balloon venoplasty to overcome a very tight stenosis of the right subclavian vein / brachiocephalic junction for cardiac resynchronisation therapy (CRT-P) in a patient with a right sided CRT-P system and a failed epicardial LV lead. It is important for device implanters to be familiar with interventional equipments and techniques such as balloon venoplasty to overcome difficult venous access.

Keywords: Balloon Venoplasty of Subclavian Vein; Cardiac Resynchronisation Therapy.

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Figures

Figure 1
Figure 1
Venogram demonstrating severe obstruction of the left SVC and subclavian vein
Figure 2
Figure 2
Snaring of the guide wire from the right subclavian vein
Figure 3
Figure 3
Balloon Venoplasty of the tight SVC stenosis
Figure 4
Figure 4
Successful placement of an Attain Starfix LV lead in the posterior-lateral cardiac vein
See this image and copyright information in PMC

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