Key result
Acute subclavian or axillary vein occlusion can occur during biventricular pacemaker implantation due to multiple venous punctures, requiring procedure cessation or forced new access.
Case Report (n=2)
Implanting physicians should be aware that acute venous occlusion can occur during biventricular pacemaker lead implantation, particularly following multiple venous punctures.
Alerts implanters to acute venous occlusion risk after repeated punctures in CRT; leaves open optimal prevention strategies.
During biventricular pacemaker implantation, multiple punctures of the subclavian vein were performed and venous occlusion was apparent during the procedure, which in one case was stopped before lead insertion and in the other patient new access has to be forced through the occlusion by removing one of the already implanted leads. For implanting physicians, it is important to know that acute venous occlusion may occur during lead implantation.
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Breuls et al. (2006) conducted a case report in Biventricular pacemaker implantation (n=2). Biventricular pacemaker implantation was evaluated on Acute venous occlusion. Acute subclavian or axillary vein occlusion can occur during biventricular pacemaker implantation due to multiple venous punctures, requiring procedure cessation or forced new access.
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