Key result
Right-sided venous access allowed successful implantable cardioverter defibrillator implantation in a patient whose left-sided approach failed due to an absent left brachiocephalic vein.
Case Report (n=1)
No
Right-sided venous access can be successfully used for ICD implantation when left-sided approach fails due to absence of the left brachiocephalic vein.
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Right-sided access enables ICD implantation with left brachiocephalic vein absence; leaves open systematic preprocedural venous mapping.
Implantation of an implantable cardioverter defibrillator by the transvenous approach was impossible from the left side in a patient with on absence of the left brachiocephalic vein; the left subclavian vein was connected by a large left superior intercostal vein to the accessory hemiazygos vein that joined the azygos vein; then the blood flowed into the superior vena cava. Implantation was successfully attempted using the right-sided venous access.
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Antonelli et al. (1999) conducted a case report in Absence of left brachiocephalic vein requiring ICD implantation (n=1). Right-sided venous access for ICD implantation vs. Left-sided approach was evaluated on Successful ICD implantation. Right-sided venous access allowed successful implantable cardioverter defibrillator implantation in a patient whose left-sided approach failed due to an absent left brachiocephalic vein.
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