Venous System Interventions for Device Implantation. [Review]

Venous System Interventions for Device Implantation. [Review] - 2018

Copyright (c) 2017 The Author(s). Published by Elsevier Inc. All rights reserved. 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.


English

1877-9182

10.1016/j.ccep.2017.11.017 [doi] S1877-9182(17)30168-5 [pii]


*Catheterization/mt [Methods]
*Defibrillators, Implantable
*Pacemaker, Artificial
*Prosthesis Implantation/mt [Methods]
Humans
Phlebography
Subclavian Vein


MedStar Heart & Vascular Institute


Journal Article
Review

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