Key result
Use of a laser sheath over a malfunctioning lead allowed successful recanalization of an obstructed subclavian vein and insertion of a new lead without extracting the old lead.
Why the study?
Can a laser sheath be used to obtain venous access for new lead insertion in a patient with pacemaker lead-related subclavian vein occlusion without extracting the old lead?
Case Report (n=1)
Can a laser sheath be used to obtain venous access for new lead insertion in a patient with pacemaker lead-related subclavian vein occlusion without extracting the old lead?
Using a laser sheath to bypass a venous occlusion allows for new pacemaker lead insertion without the higher risks associated with full lead extraction.
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May enable new lead insertion without extraction in subclavian occlusion; hypothesis-generating case report requiring prospective validation.
Frank Bracke (2002) conducted a case report in Pacemaker lead-related subclavian vein occlusion (n=1). Laser sheath-assisted venous access without lead extraction was evaluated on Recanalization of the obstructed vein and successful implantation of a new lead. Use of a laser sheath over a malfunctioning lead allowed successful recanalization of an obstructed subclavian vein and insertion of a new lead without extracting the old lead.
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