Citation: Cardiac electrophysiology clinics. 10(1):163-177, 2018 Mar.Journal: Cardiac electrophysiology clinics.Published: 2018ISSN: 1877-9182.Full author list: Marcial JM; Worley SJ.UI/PMID: 29428138.Subject(s): *Catheterization/mt [Methods] | *Defibrillators, Implantable | Humans | *Pacemaker, Artificial | Phlebography | *Prosthesis Implantation/mt [Methods] | Subclavian VeinInstitution(s): MedStar Heart & Vascular InstituteActivity type: Journal Article.Medline article type(s): Journal Article | ReviewOnline resources: Click here to access onlineDigital Object Identifier: https://dx.doi.org/10.1016/j.ccep.2017.11.017 (Click here)Abbreviated citation: Card Electrophysiol Clin. 10(1):163-177, 2018 Mar.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.Abstract: Copyright (c) 2017 The Author(s). Published by Elsevier Inc. All rights reserved.