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Asai M, Kiyokuni M, Hiroki U, Ishii K, Tokoro T, Ishikawa H, Kagimoto M, Kataoka S, Kuji S, Nakachi T, Endo T, Hibi K. Successful left ventricular lead placement by way of an azygos vein for a patient performing cardiac resynchronization therapy implantation with an occluded left subclavian vein: A case report. Pacing Clin Electrophysiol 2024; 47:815-819. [PMID: 37793047 DOI: 10.1111/pace.14834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 09/13/2023] [Accepted: 09/20/2023] [Indexed: 10/06/2023]
Abstract
Central venous obstruction following pacemaker implantation is not uncommon and can prove challenging in the case of a system upgrade to a cardiac resynchronization therapy pacemaker (CRT-P). We describe the case of a patient who underwent a successful upgrading procedure of a pacemaker to a CRT-P in the presence of an occluded left subclavian vein and superior vena cava, using collateral veins that drained into right atrium.
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Affiliation(s)
- Masanari Asai
- Department of Cardiology, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan
- Department of Cardiology, Kanagawa Prefectural Ashigarakami Hospital, Ashigarakamigun, Japan
| | - Masayoshi Kiyokuni
- Department of Cardiology, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan
| | - Uemura Hiroki
- Department of Cardiology, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan
| | - Kazuho Ishii
- Department of Cardiology, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan
| | - Takumi Tokoro
- Department of Cardiology, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan
| | - Hiroyuki Ishikawa
- Department of Cardiology, Kanagawa Prefectural Ashigarakami Hospital, Ashigarakamigun, Japan
| | - Minako Kagimoto
- Department of Cardiology, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan
| | - Shunsuke Kataoka
- Department of Cardiology, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan
| | - Syotaro Kuji
- Department of Cardiology, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan
| | - Tatsuya Nakachi
- Department of Cardiology, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan
| | - Tsutomu Endo
- Department of Cardiology, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan
| | - Kiyoshi Hibi
- Department of Cardiology, Yokohama City University Hospital, Yokohama, Japan
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2
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Li YP, Lee CH, Chen JY. Proposed strategies to overcome venous occlusion in the implantation of a cardiac implantable electronic device: A case report and literature review. Front Cardiovasc Med 2022; 9:1005596. [PMID: 36352849 PMCID: PMC9637934 DOI: 10.3389/fcvm.2022.1005596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 10/10/2022] [Indexed: 11/18/2022] Open
Abstract
This case report describes a successful balloon venoplasty to overcome a total occlusion from the brachiocephalic vein to the superior vena cava in a patient undergoing cardiac resynchronization therapy. It is crucial for implanting physicians to be familiar with strategies to overcome venous occlusion in lead implantation, especially balloon venoplasty, which is an effective and safe approach.
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3
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Burri H, Starck C, Auricchio A, Biffi M, Burri M, D'Avila A, Deharo JC, Glikson M, Israel C, Lau CP, Leclercq C, Love CJ, Nielsen JC, Vernooy K, Dagres N, Boveda S, Butter C, Marijon E, Braunschweig F, Mairesse GH, Gleva M, Defaye P, Zanon F, Lopez-Cabanillas N, Guerra JM, Vassilikos VP, Martins Oliveira M. EHRA expert consensus statement and practical guide on optimal implantation technique for conventional pacemakers and implantable cardioverter-defibrillators: endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), and the Latin-American Heart Rhythm Society (LAHRS). Europace 2021; 23:983-1008. [PMID: 33878762 DOI: 10.1093/europace/euaa367] [Citation(s) in RCA: 82] [Impact Index Per Article: 27.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
With the global increase in device implantations, there is a growing need to train physicians to implant pacemakers and implantable cardioverter-defibrillators. Although there are international recommendations for device indications and programming, there is no consensus to date regarding implantation technique. This document is founded on a systematic literature search and review, and on consensus from an international task force. It aims to fill the gap by setting standards for device implantation.
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Affiliation(s)
- Haran Burri
- Department of Cardiology, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva, Switzerland
| | - Christoph Starck
- Department of Cardiothoracic and Vascular Surgery, German Heart Center, Berlin, Augustenburger Pl. 1, 13353 Berlin, Germany.,German Center of Cardiovascular Research (DZHK), Partner Site Berlin, Berlin, Germany.,Steinbeis University Berlin, Institute (STI) of Cardiovascular Perfusion, Berlin, Germany
| | - Angelo Auricchio
- Fondazione Cardiocentro Ticino, Via Tesserete 48, CH-6900 Lugano, Switzerland
| | - Mauro Biffi
- Azienda Ospedaliero-Universitaria di Bologna, Policlinico S.Orsola-Malpighi, Università di Bologna, Bologna, Italy
| | - Mafalda Burri
- Division of Scientific Information, University of Geneva, Rue Michel Servet 1, 1211 Geneva, Switzerland
| | - Andre D'Avila
- Serviço de Arritmia Cardíaca-Hospital SOS Cardio, 2 Florianópolis, SC, Brazil.,Harvard-Thorndike Electrophysiology Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | | | | | - Carsten Israel
- Department of Cardiology, Bethel-Clinic Bielefeld, Burgsteig 13, 33617, Bielefeld, Germany
| | - Chu-Pak Lau
- Division of Cardiology, University of Hong Kong, Queen Mary Hospital, Pok Fu Lam, Hong Kong
| | | | - Charles J Love
- Johns Hopkins Hospital and School of Medicine, Baltimore, MD, USA
| | - Jens Cosedis Nielsen
- Department of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Blvd. 161, 8200 Aarhus, Denmark
| | - Kevin Vernooy
- Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, The Netherlands.,Department of Cardiology, Radboud University Medical Center (Radboudumc), Nijmegen, The Netherlands
| | | | - Nikolaos Dagres
- Department of Electrophysiology, Heart Center Leipzig at University of Leipzig, Leipzig, Germany
| | - Serge Boveda
- Heart Rhythm Department, Clinique Pasteur, 31076 Toulouse, France
| | - Christian Butter
- Department of Cardiology, Heart Center Brandenburg, Chefarzt, Abteilung Kardiologie, Berlin, Germany
| | - Eloi Marijon
- University of Paris, Head of Cardiac Electrophysiology Section, European Georges Pompidou Hospital, 20 Rue Leblanc, 75908 Paris Cedex 15, France
| | | | - Georges H Mairesse
- Department of Cardiology-Electrophysiology, Cliniques du Sud Luxembourg-Vivalia, rue des Deportes 137, BE-6700 Arlon, Belgium
| | - Marye Gleva
- Washington University in St Louis, St Louis, MO, USA
| | - Pascal Defaye
- CHU Grenoble Alpes, Unite de Rythmologie, Service De Cardiologie, CS10135, 38043 Grenoble Cedex 09, France
| | - Francesco Zanon
- Arrhythmia and Electrophysiology Unit, Department of Cardiology, Santa Maria della Misericordia Hospital, Rovigo, Italy
| | | | - Jose M Guerra
- Department of Cardiology, Hospital de la Santa Creu i Sant Pau, Universidad Autonoma de Barcelona, CIBERCV, Barcelona, Spain
| | - Vassilios P Vassilikos
- Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.,3rd Cardiology Department, Hippokrateio General Hospital, Thessaloniki, Greece
| | - Mario Martins Oliveira
- Department of Cardiology, Hospital Santa Marta, Rua Santa Marta, 1167-024 Lisbon, Portugal
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4
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Kella DK, Isath A, Yasin O, Padmanabhan D, Webster T, Mulpuru S, Cha Y, Friedman PA. Fibroplasty (venoplasty) to facilitate transvenous lead placement: A single‐center experience. J Cardiovasc Electrophysiol 2020; 31:2425-2430. [DOI: 10.1111/jce.14655] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Revised: 05/31/2020] [Accepted: 06/29/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Danesh K. Kella
- Division of Cardiovascular Diseases Mayo Clinic Rochester Minnesota USA
| | - Ameesh Isath
- Division of Cardiovascular Diseases Mayo Clinic Rochester Minnesota USA
| | - Omar Yasin
- Division of Cardiovascular Diseases Mayo Clinic Rochester Minnesota USA
| | | | - Tracy Webster
- Division of Cardiovascular Diseases Mayo Clinic Rochester Minnesota USA
| | - Siva Mulpuru
- Division of Cardiovascular Diseases Mayo Clinic Rochester Minnesota USA
| | - Yong‐Mei Cha
- Division of Cardiovascular Diseases Mayo Clinic Rochester Minnesota USA
| | - Paul A. Friedman
- Division of Cardiovascular Diseases Mayo Clinic Rochester Minnesota USA
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5
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Al-Sadawi M, Budzikowski AS. Unusual Venous Access for Device Implantation. AMERICAN JOURNAL OF CASE REPORTS 2019; 20:1482-1486. [PMID: 31591374 PMCID: PMC6792470 DOI: 10.12659/ajcr.916576] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Case series Patient: Male, 80 • Female, 67 • Male, 48 Final Diagnosis: Management of difficult venous access for implantable cardiac devices Symptoms: Heart failure Medication: — Clinical Procedure: — Specialty: Cardiology
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Affiliation(s)
- Mohammed Al-Sadawi
- Department of Internal Medicine, SUNY (State University of New York) Downstate, Brooklyn, NY, USA
| | - Adam S Budzikowski
- Division of Cardiovascular Medicine - Electrophysiology Section, Department of Medicine, SUNY (State University of New York) Downstate, Brooklyn, NY, USA
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6
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Sherk WM, Khaja MS, Good ED, Cunnane RT, Dasika NL, Williams DM. Hybrid venous recanalization and cardiac implantable electronic device lead revision procedures: A single-center retrospective analysis of 38 patients. Clin Imaging 2019; 58:145-151. [PMID: 31336361 DOI: 10.1016/j.clinimag.2019.07.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 07/02/2019] [Accepted: 07/09/2019] [Indexed: 11/26/2022]
Abstract
PURPOSE The purpose of this study was to describe the safety and efficacy of hybrid recanalization procedures in a series of patients with obstructed central veins requiring cardiac implantable electronic device (CIED) revision. METHODS Between 2008 and 2016, 38 consecutive patients (24 M; age 60.5 ± 16.2 years; range 25-87 years) with central venous obstruction underwent 42 recanalization interventions performed in conjunction with CIED revision or extraction. Fifty percent of patients (19/38) presented with veno-occlusive symptoms, and 13% (5/38) of patients had CIED leads with an ipsilateral upper extremity dialysis conduit. RESULTS Ninety-one percent (38/42) of all procedures resulted in successful recanalization and CIED revision. Twenty-four percent (9/38) of all patients required secondary procedures due to recurrent stenosis, and 78% (7/9) of those requiring secondary procedures had indwelling dialysis conduits and/or clinical symptoms related to venous occlusion before the initial procedure. There were complications in 2 patients related to recanalization, and in 3 related to CIED revision. CONCLUSIONS Recanalization of central venous stenosis/occlusion in patients with CIED can be technically challenging but is successful in most patients. Symptomatic patients and those with dialysis conduits often require more aggressive revascularization interventions and may be at increased risk of complication or need for secondary interventions.
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Affiliation(s)
- William M Sherk
- Department of Radiology, Division of Vascular & Interventional Radiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, United States of America.
| | - Minhaj S Khaja
- Department of Radiology, Division of Vascular & Interventional Radiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, United States of America.
| | - Eric D Good
- Division of Cardiology, Section of Electrophysiology, University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI 48109, United States of America
| | - Ryan T Cunnane
- Division of Cardiology, Section of Electrophysiology, University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI 48109, United States of America.
| | - Narasimham L Dasika
- Department of Radiology, Division of Vascular & Interventional Radiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, United States of America.
| | - David M Williams
- Department of Radiology, Division of Vascular & Interventional Radiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, United States of America.
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7
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Donnelly J, Gabriels J, Galmer A, Willner J, Beldner S, Epstein LM, Patel A. Venous Obstruction in Cardiac Rhythm Device Therapy. CURRENT TREATMENT OPTIONS IN CARDIOVASCULAR MEDICINE 2018; 20:64. [PMID: 29995225 DOI: 10.1007/s11936-018-0664-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE OF REVIEW A variety of complex vascular pathologies arise following the implantation of electronic cardiac devices. Pacemaker and defibrillator lead insertion may cause proximal venous obstruction, resulting in symptomatic venous congestion and the compromise of potential future access sites for cardiac rhythm lead management. RECENT FINDINGS Various innovative techniques to recanalize the vein and establish alternate venous access have been pioneered over the past few years. A collaborative team of electrophysiologists and vascular specialists strategically integrate the patient's vascular disease into the planning of electrophysiology procedures. When vascular complications occur after device implantation, the same team effectively manages both the resulting vascular sequelae and related cardiac rhythm device challenges. This review will outline the various vascular challenges related to device therapy and offer an effective strategy for their management.
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Affiliation(s)
- Joseph Donnelly
- Department of Cardiology, North Shore University Hospital, 300 Community Dr, Manhasset, NY, 11030, USA.
| | - James Gabriels
- Department of Cardiology, North Shore University Hospital, 300 Community Dr, Manhasset, NY, 11030, USA
| | - Andrew Galmer
- Department of Cardiology, North Shore University Hospital, 300 Community Dr, Manhasset, NY, 11030, USA
| | - Jonathan Willner
- Department of Cardiology, North Shore University Hospital, 300 Community Dr, Manhasset, NY, 11030, USA
| | - Stuart Beldner
- Department of Cardiology, North Shore University Hospital, 300 Community Dr, Manhasset, NY, 11030, USA
| | - Laurence M Epstein
- Department of Cardiology, North Shore University Hospital, 300 Community Dr, Manhasset, NY, 11030, USA
| | - Apoor Patel
- Department of Cardiology, North Shore University Hospital, 300 Community Dr, Manhasset, NY, 11030, USA
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8
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Abstract
Subclavian obstruction is common after lead implantation and the need to add or replace a lead is increasing. Subclavian venoplasty (SV) is a safe and effective option for venous occlusion. Peripheral venography overestimates the severity of the obstruction. A wire can usually be advanced into the central circulation for SV. Compared with dilators, SV improves the quality of venous access, providing unrestricted catheter manipulation for His bundle pacing and left ventricular lead implantation. SV preserves venous access and reduces lead burden. SV can easily be added to the implanting physicians lead management options.
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Affiliation(s)
- Jose M Marcial
- Department of Medicine, Division of Cardiology, Cardiac Arrhythmia Center, Medstar Heart and Vascular Institute, Medstar Washington Hospital Center, 110 Irving Street Northwest, Washington, DC 20010, USA
| | - Seth J Worley
- Department of Medicine, Division of Cardiology, Cardiac Arrhythmia Center, Medstar Heart and Vascular Institute, Medstar Washington Hospital Center, 110 Irving Street Northwest, Washington, DC 20010, USA.
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9
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Cecchin F, Halpern DG. Cardiac Arrhythmias in Adults with Congenital Heart Disease: Pacemakers, Implantable Cardiac Defibrillators, and Cardiac Resynchronization Therapy Devices. Card Electrophysiol Clin 2017; 9:319-328. [PMID: 28457245 DOI: 10.1016/j.ccep.2017.02.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Implanting cardiac rhythm medical devices in adults with congenital heart disease requires training in congenital heart disease. The techniques and indications for device implantation are specific to the anatomic diagnosis and state of disease progression. It often requires a team of physicians and is best performed at a specialized adult congenital heart center.
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Affiliation(s)
- Frank Cecchin
- NYU Langone Medical Center, 550 First Avenue, New York, NY 10016, USA.
| | - Daniel G Halpern
- NYU Langone Medical Center, 550 First Avenue, New York, NY 10016, USA
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10
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Pae JY, Kim YN, Do MY, Park HS, Han S, Hur SH, Choi SY. The internal jugular vein as an alternative venous access for a revision of a fractured implantable cardioverter-defibrillator lead. Korean J Intern Med 2017; 32:360-362. [PMID: 26842100 PMCID: PMC5339462 DOI: 10.3904/kjim.2015.221] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2015] [Revised: 08/13/2015] [Accepted: 08/18/2015] [Indexed: 11/27/2022] Open
Affiliation(s)
- Jong Yop Pae
- Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea
| | - Yoon-Nyun Kim
- Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea
- Correspondence to Yoon-Nyun Kim, M.D. Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, 56 Dalseong-ro, Jung-gu, Daegu 41931, Korea Tel: +82-53-250-7432 Fax: +82-53-250-7034 E-mail:
| | - Min Young Do
- Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea
| | - Hyoung-Seob Park
- Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea
| | - Seongwook Han
- Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea
| | - Seung-Ho Hur
- Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea
| | - Sae-Young Choi
- Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Medical Center, Daegu, Korea
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11
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Seow SC, Lim TW, Singh D, Yeo WT, Kojodjojo P. Permanent pacing in patients without upper limb venous access: a review of current techniques. HEART ASIA 2014; 6:163-6. [PMID: 27326197 DOI: 10.1136/heartasia-2014-010546] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/14/2014] [Indexed: 11/04/2022]
Abstract
Permanent transvenous cardiac pacing is usually accomplished through the upper limb veins. When these are occluded, several other vascular access options exist which include the internal jugular, external jugular, femoral and iliac veins as well as more proximal access of the subclavian veins. Anterograde and retrograde techniques to restore subclavian venous patency has been described. A review of these approaches is undertaken, with a discussion of their pros and cons. Familiarity with these techniques will enable the implanter to perform transvenous pacing when faced with limited vascular access.
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Affiliation(s)
- Swee-Chong Seow
- Cardiology Department , National University Heart Centre , Singapore , Singapore
| | - Toon-Wei Lim
- Cardiology Department , National University Heart Centre , Singapore , Singapore
| | - Devinder Singh
- Cardiology Department , National University Heart Centre , Singapore , Singapore
| | - Wee-Tiong Yeo
- Cardiology Department , National University Heart Centre , Singapore , Singapore
| | - Pipin Kojodjojo
- Cardiology Department , National University Heart Centre , Singapore , Singapore
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12
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Balloon venoplasty of subclavian vein and brachiocephalic junction to enable left ventricular lead placement for cardiac resynchronisation therapy. Indian Pacing Electrophysiol J 2014; 13:221-5. [PMID: 24482564 PMCID: PMC3876581 DOI: 10.1016/s0972-6292(16)30692-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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.
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13
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Hodkinson EC, Morrice K, Loan W, Nicholas J, Chew E. Complex biventricular pacing - a case series. Indian Pacing Electrophysiol J 2014; 14:37-43. [PMID: 24493915 PMCID: PMC3878586 DOI: 10.1016/s0972-6292(16)30714-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
It is established that cardiac resynchronisation therapy (CRT) reduces mortality and hospitalisation and improves functional class in patients with NYHA class 3-4 heart failure, an ejection fraction of ≤ 35% and a QRS duration of ≥ 120ms. Recent updates in the American guidelines have expanded the demographic of patients in whom CRT may be appropriate. Here we present two cases of complex CRT; one with a conventional indication but occluded central veins and the second with a novel indication for CRT post cardiac transplant.
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Affiliation(s)
| | - Keith Morrice
- Belfast City Hospital, Belfast Health and Social Care Trust, 51 Lisburn Road, Belfast, BT9 7AB
| | - William Loan
- Belfast City Hospital, Belfast Health and Social Care Trust, 51 Lisburn Road, Belfast, BT9 7AB
| | - Jacob Nicholas
- Belfast City Hospital, Belfast Health and Social Care Trust, 51 Lisburn Road, Belfast, BT9 7AB
| | - Engwooi Chew
- Belfast City Hospital, Belfast Health and Social Care Trust, 51 Lisburn Road, Belfast, BT9 7AB
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Costa R, Scanavacca M, da Silva KR, Martinelli Filho M, Carrillo R. Novel approach to epicardial pacemaker implantation in patients with limited venous access. Heart Rhythm 2013; 10:1646-52. [DOI: 10.1016/j.hrthm.2013.08.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2013] [Indexed: 10/26/2022]
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15
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JI SANGYONG, GUNDEWAR SUSHEEL, PALMA EUGENC. Subclavian Venoplasty May Reduce Implant Times and Implant Failures in the Era of Increasing Device Upgrades. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2012; 35:444-8. [DOI: 10.1111/j.1540-8159.2011.03303.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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16
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Trombosis venosa tras el implante de marcapaso definitivo bicameral. Med Intensiva 2011; 35:394. [DOI: 10.1016/j.medin.2010.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2010] [Revised: 12/02/2010] [Accepted: 12/03/2010] [Indexed: 11/21/2022]
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17
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Worley SJ, Gohn DC, Pulliam RW, Raifsnider MA, Ebersole BI, Tuzi J. Subclavian venoplasty by the implanting physicians in 373 patients over 11 years. Heart Rhythm 2011; 8:526-33. [DOI: 10.1016/j.hrthm.2010.12.014] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2010] [Accepted: 12/04/2010] [Indexed: 10/18/2022]
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18
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Antonelli D, Freedberg NA, Turgeman Y. Supraclavicular vein approach to overcoming ipsilateral chronic subclavian vein obstruction during pacemaker-ICD lead revision or upgrading. Europace 2010; 12:1596-9. [PMID: 20798115 DOI: 10.1093/europace/euq314] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
AIMS We report our experience with the supraclavicular vein approach of subclavian vein puncture to overcome ipsilateral chronic obstruction when implanting pacemaker or implantable cardioverter defibrillator leads. METHODS AND RESULTS The subclavian vein obstruction was documented by venography. The skin was punctured with an 18-gauge needle, 1 cm lateral to the lateral head of the sternocleidomastoid muscle and 1 cm cranial to the clavicle. The needle was directed under and close to the clavicle pointing to the sternal notch. Once the vein was successfully punctured, medial to the obstruction, a 0.38 in. guidewire was inserted into the venous bed. A peel-away sheath was indwelled using the Seldinger technique. The leads were placed in the standard fashion; they were secured by suture to the subcutaneous tissue of the fossa supraclavicularis major using a protective sleeve. The proximal portion of the lead was tunnelled over the clavicle down to the device's prepectoral pocket. Lead insertion was performed in four patients (twice in one patient) with total left subclavian vein obstruction; the site of the obstruction was in the mid-segment of the left subclavian vein in two patients, in the axillary and distal segment of the subclavian vein in one patient, and in the distal segment of the subclavian vein in one patient. There were no complications with the surgical wound and the lead parameters remained stable. CONCLUSION The supraclavicular approach of the subclavian vein puncture to overcome ipsilateral total occlusion is feasible and safe.
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Affiliation(s)
- Dante Antonelli
- Department of Cardiology, HaEmek Medical Center, 18100 Afula, Israel.
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19
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RANJAN RAVI, HENRIKSON CHARLESA. ICD Implantation after Crossing a Totally Occluded Subclavian Vein Via Collaterals from the Superior Vena Cava. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2010; 33:e14-6. [DOI: 10.1111/j.1540-8159.2009.02582.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Short-term Venous Patency after Implantation of Permanent Pacemakers or Implantable Cardioverter Defibrillators. J Arrhythm 2010. [DOI: 10.1016/s1880-4276(10)80033-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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ANTONELLI DANTE, FREEDBERG NAHUMA, TURGEMAN YOAV. Supraclavicular Vein Approach for Upgrading an Implantable Cardioverter Defibrillator to a Biventricular Device. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2009; 33:634-6. [DOI: 10.1111/j.1540-8159.2009.02653.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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22
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Luedorff G, Grove R, Kranig W, Thale J. Different venous angioplasty manoeuvres for successful implantation of CRT devices. Clin Res Cardiol 2008; 98:159-64. [DOI: 10.1007/s00392-008-0734-x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2008] [Accepted: 10/07/2008] [Indexed: 11/28/2022]
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23
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WORLEY SETHJ, GOHN DOUGLASC, PULLIAM ROBERTW. Coronary Vein Rupture during Venoplasty for LV Lead Placement. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2008; 31:904-7. [DOI: 10.1111/j.1540-8159.2008.01108.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Worley SJ. Implant venoplasty: dilation of subclavian and coronary veins to facilitate device implantation: indications, frequency, methods, and complications. J Cardiovasc Electrophysiol 2008; 19:1004-7. [PMID: 18554213 DOI: 10.1111/j.1540-8167.2008.01217.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Subclavian vein (SV) obstruction occurs in 13-35% of patients with prior leads, resulting in use of proximal venous access, the other vein, laser lead extraction, or surgery. Surgery is required for optimal left ventricle lead placement in 10-15% of cardiac resynchronization therapy candidates because of small or stenotic veins. Published data describe the safe and successful balloon dilation of both subclavian and coronary veins (CV); however, implant venoplasty is rarely performed because many implanting physicians are not familiar with the use of balloons. This article outlines how we use venoplasty to facilitate implantation in our laboratory. The indications, frequency, observed and potential complications that have evolved with our experience are also discussed.
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Affiliation(s)
- Seth J Worley
- Interventional Implant Program, The Heart Center, Lancaster General Hospital, The Lancaster Heart and Stroke Foundation, Lancaster, Pennsylvania 17603, USA.
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25
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Worley SJ, Gohn DC, Pulliam RW. Over the wire lead extraction and focused force venoplasty to regain venous access in a totally occluded subclavian vein. J Interv Card Electrophysiol 2008; 23:135-7. [DOI: 10.1007/s10840-008-9261-y] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2007] [Accepted: 04/09/2008] [Indexed: 11/29/2022]
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CHAUHAN KETUL, SAYAD DANY, BOWERMAN RICHARD, BAROLD SSERGE. Coronary Vein Angioplasty with Noncompliant Balloon for Resistant Coronary Vein Stenosis During Left Ventricular Lead Implantation. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2008; 31:251-2. [DOI: 10.1111/j.1540-8159.2007.00978.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bosa-Ojeda F, Bethencourt-Muñoz M, Vargas-Torres M, Lara-Paorón A, Rodriguez-Gonzalez A, Marrero-Rodriguez F. Upgrade of a pacemaker defibrillator to a biventricular device: the internal jugular vein approach in a case of bilateral subclavian veins occlusion. J Interv Card Electrophysiol 2007; 19:209-11. [PMID: 17874289 DOI: 10.1007/s10840-007-9149-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2007] [Accepted: 07/04/2007] [Indexed: 11/28/2022]
Abstract
Cardiac resynchronization improves survival and functional class of patients with advanced chronic heart failure. Placement of a stimulation electrode in the coronary sinus via the left subclavian vein is not always possible and other alternatives are required, above all when it concerns upgrading a previous device. This paper presents the case of a patient with a pacemaker/defibrillator and occlusion of both subclavian veins who had a stimulation electrode successfully placed in the coronary sinus via the right internal jugular.
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Affiliation(s)
- F Bosa-Ojeda
- Haemodinamic and Interventional Cardiology Unit, Department of Cardiology, University Hospital of Canary Island, Tenerife, Spain
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28
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Worley S, Ellenbogen KA. Application of Interventional Procedures Adapted for Device Implantation: New Opportunities for Device Implanters. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2007; 30:938-41. [PMID: 17669074 DOI: 10.1111/j.1540-8159.2007.00789.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Seth Worley
- Heart Center, Lancaster General Hospital, Lancaster, Pennsylvania, USA.
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Affiliation(s)
- Michael E Field
- Arrhythmia Unit, Cardiovascular Division, Brigham and Women's Hospital, Boston, MA 02115, USA
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Affiliation(s)
- Edward P Walsh
- Electrophysiology Division, Department of Cardiology, Children's Hospital Boston, 300 Longwood Ave, Boston, MA 02115, USA.
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31
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Asgar AW, Mirò J, Ibrahim R. Recanalization of systemic venous baffles by radiofrequency perforation and stent implantation. Catheter Cardiovasc Interv 2007; 70:591-4. [PMID: 17894359 DOI: 10.1002/ccd.21171] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Complete transposition of the great arteries has been historically managed by the Mustard (atrial switch) operation. This procedure is associated with longterm complications such as baffle occlusion, which also precludes the insertion of a permanent transvenous pacemaker. Transcatheter techniques have allowed the successful angioplasty and stenting of stenotic baffles but complete occlusions continue to pose a therapeutic challenge. We report the use of a novel technique, a radiofrequency perforation wire for the management of complete occlusion of systemic venous baffles post-Mustard operation.
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Affiliation(s)
- Anita W Asgar
- Department of Cardiology, Montreal Heart Institute, University of Montreal, Montreal, Canada
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