Key result
Successful placement of a new very thin bipolar ventricular pacing lead via the subclavian vein was achieved despite high degree stenosis of the medial part of the vein.
Case Report (n=1)
A very thin bipolar ventricular pacing lead can be successfully implanted via the subclavian vein even in the presence of high degree stenosis.
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May enable thin-lead pacing despite subclavian stenosis; hypothesis-generating and should not yet change practice.
This case reports on an 81-year-old man with implanted dual-chamber pacemaker for binodal disease who required ventricular lead revision due to loss of ventricular capture. Successful placement of a new lead via the subclavian vein despite of high degree stenosis of the medial part of the vein is described using a very thin bipolar ventricular pacing lead. Currently available pacing electrodes for this purpose are reviewed.
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Kolb et al. (2005) conducted a case report in Binodal disease requiring ventricular lead revision (n=1). Very thin bipolar ventricular pacing lead was evaluated on Successful lead placement. Successful placement of a new very thin bipolar ventricular pacing lead via the subclavian vein was achieved despite high degree stenosis of the medial part of the vein.
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