Key result
Recanalizing a thrombotic subclavian vein enabled successful defibrillation lead replacement through the same path, preserving venous access in two patients.
Recanalization of a thrombosed subclavian vein is a feasible approach for defibrillator lead replacement that preserves venous access.
Venous thrombosis is one of the most frequently encountered obstacles when reintervening on endocardial leads. We report on two patients with a ventricular defibrillator requiring lead replacement in whom a subclavian vein thrombosis was documented prior to the intervention. We recanalized the vein and replaced the lead through the same path to preserve the venous access.
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Franc et al. (1999) studied this question. Recanalizing a thrombotic subclavian vein enabled successful defibrillation lead replacement through the same path, preserving venous access in two patients.
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