Why the study?
Does right innominate vein puncture provide feasible venous access in patients requiring ICD revisions with venous obstruction?
Does right innominate vein puncture provide feasible venous access in patients requiring ICD revisions with venous obstruction?
Right innominate vein puncture is a feasible alternative bail-out strategy for venous access during complicated ICD revisions or upgrades in patients with venous obstruction.
Offers bail-out access in obstructed ICD revisions; leaves open safety, durability, and need for prospective validation.
We have demonstrated that ICD lead placement through puncture of the right innominate vein is feasible. We propose the innominate vein as an alternative route for establishing venous access in patients requiring ICD revisions or upgrades who suffer from venous obstruction. ICD implanting physicians should acquaint themselves with the technique of right innominate vein puncture to use this vein as a bail-out strategy in patients with complicated venous access.
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Aleksić et al. (2007) studied this question.
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