Key result
A new ICD lead was successfully implanted through an angulated and tortuous collateral vein using a long sheath in a patient with subclavian vein occlusion.
Case Report (n=1)
Implanting an ICD lead through a collateral vein using a long sheath may be a viable strategy in patients with central venous occlusions.
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May offer alternative access in subclavian occlusion; leaves open need for prospective validation before wider use.
In a 29-year-old man with a malfunctioning implantable cardioverter-defibrillator (ICD) lead, a collateral vein connected to the superior vena cava had well developed with the left subclavian vein occlusion. A new ICD lead was successfully implanted through this angulated and tortuous collateral vein using a long sheath. This may be another strategy for implanting additional leads in central venous occlusions.
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Yamada et al. (2010) conducted a case report in Malfunctioning ICD lead with left subclavian vein occlusion (n=1). ICD lead implantation via an angulated and tortuous collateral vein using a long sheath was evaluated on Successful ICD lead implantation. A new ICD lead was successfully implanted through an angulated and tortuous collateral vein using a long sheath in a patient with subclavian vein occlusion.
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