Insertion of an atrial lead through the ipsilateral vein system was successfully achieved using the supraclavicular approach of the subclavian vein in a patient with total left subclavian occlusion.
Case Report (n=1)
Does the supraclavicular approach of the subclavian vein allow for lead insertion in patients with total occlusion of the subclavian vein?
The supraclavicular approach of the subclavian vein is a viable technique for lead insertion in patients with ipsilateral subclavian vein occlusion.
ANTONELLI, D., et al. : Lead Insertion by Supraclavicular Approach of the Subclavian Vein Puncture. Total occlusion of the left subclavian vein was diagnosed in a 76‐year‐old patient, 6 years after implantation of an ICD with VVI pacing backup. Replacement of the ICD included upgrading of the ICD system because of the presence of pacemaker syndrome when the patient was VVI paced. Insertion of an atrial lead through the ipsilateral vein system was made possible by using the supraclavicular approach of the subclavian, enabling puncturing of the left subclavian vein medially to the obstruction.
Antonelli et al. (2001) conducted a case report in Total occlusion of the left subclavian vein and pacemaker syndrome (n=1). Supraclavicular approach of the subclavian vein puncture was evaluated on Successful insertion of an atrial lead. Insertion of an atrial lead through the ipsilateral vein system was successfully achieved using the supraclavicular approach of the subclavian vein in a patient with total left subclavian occlusion.