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. 2019 Jan-Feb;19(1):27-29.
doi: 10.1016/j.ipej.2018.10.002. Epub 2018 Oct 25.

Venoplasty of a chronic venous occlusion with 'diathermy' for cardiac device lead placement

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Venoplasty of a chronic venous occlusion with 'diathermy' for cardiac device lead placement

Enes Elvin Gul et al. Indian Pacing Electrophysiol J. 2019 Jan-Feb.

Abstract

Venous revascularization is an approach used in patients with total venous occlusion requiring venous access for cardiac device lead placement. Several percutaneous approaches to venous revascularization have been proposed. For the first time, we describe the case of a 69-year-old male with total venous occlusion who was successfully revascularized using a 'diathermy' technique.

Keywords: Diathermy; Venoplasty; Venous occlusion.

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Figures

Fig. 1
Fig. 1
Uper and lower venograms showing total occlusion at the level of innominate vein and SVC (A and B). Retrograde angioplasty (C) and successful antegrade advancement of the wire (D). Advancement and placement of the RV lead to the right ventricular mid-septum (E and F).
Fig. 2
Fig. 2
Diathermy technique is demonstrated.

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