Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 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.

PubMed Disclaimer

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

References

    1. Cleland JGF, et al. Effect of Cardiac Resynchronization on Morbidity and Mortality in Heart Failure. N Engl J Med. 2005;352:1539. - PubMed
    1. Spittell PC, et al. Venous complications after insertion of a transvenous pacemaker. Mayo Clin Proc. 1992;67:258. - PubMed
    1. McCotter CJ, et al. Placement of transvenous pacemaker and ICD leads across total chronic occlusions. Pacing and Clinical Electrophysiology. 2005;28:921. - PubMed
    1. Worley SJ, et al. Subclavian venoplasty by the implanting physicians in 373 patients over 11 years. Heart Rhythm. 2011;8:526. - PubMed

LinkOut - more resources