Worley Seth Joseph, Gohn Douglas Charles, Pulliam Robert Ward
Lancaster Heart and Stroke Foundation, Lancaster General Hospital, Lancaster, Pennsylvania, USA.
Pacing Clin Electrophysiol. 2007 Oct;30(10):1290-3. doi: 10.1111/j.1540-8159.2007.00856.x.
Patients with existing internal cardioverter defibrillators (ICDs) often require upgrading to a biventricular ICD for treatment of congestive heart failure (CHF). Placement of a left ventricular (LV) lead can be technically challenging in the best of circumstances. A subclavian vein stenosis or occlusion related to previously placed leads adds a major obstacle to a successful implant. We report a technique of implanting an LV lead from the same side as the existing ICD system despite complete occlusion of the subclavian vein.
患有现有植入式心脏复律除颤器(ICD)的患者通常需要升级为双心室ICD以治疗充血性心力衰竭(CHF)。在最佳情况下,植入左心室(LV)导线在技术上也可能具有挑战性。与先前放置的导线相关的锁骨下静脉狭窄或闭塞为成功植入增加了主要障碍。我们报告了一种尽管锁骨下静脉完全闭塞,但仍从与现有ICD系统同侧植入LV导线的技术。