Marcial Jose M, Worley Seth J
Department of Medicine, Division of Cardiology, Cardiac Arrhythmia Center, Medstar Heart and Vascular Institute, Medstar Washington Hospital Center, 110 Irving Street Northwest, Washington, DC 20010, USA.
Department of Medicine, Division of Cardiology, Cardiac Arrhythmia Center, Medstar Heart and Vascular Institute, Medstar Washington Hospital Center, 110 Irving Street Northwest, Washington, DC 20010, USA.
Card Electrophysiol Clin. 2018 Mar;10(1):163-177. doi: 10.1016/j.ccep.2017.11.017.
Subclavian obstruction is common after lead implantation and the need to add or replace a lead is increasing. Subclavian venoplasty (SV) is a safe and effective option for venous occlusion. Peripheral venography overestimates the severity of the obstruction. A wire can usually be advanced into the central circulation for SV. Compared with dilators, SV improves the quality of venous access, providing unrestricted catheter manipulation for His bundle pacing and left ventricular lead implantation. SV preserves venous access and reduces lead burden. SV can easily be added to the implanting physicians lead management options.
锁骨下静脉梗阻在导线植入后很常见，且增加或更换导线的需求也在不断增加。锁骨下静脉成形术（SV）是治疗静脉闭塞的一种安全有效的选择。外周静脉造影会高估梗阻的严重程度。通常可以将导丝推进至中心循环以进行SV。与扩张器相比，SV可改善静脉通路质量，为希氏束起搏和左心室导线植入提供不受限制的导管操作。SV可保留静脉通路并减轻导线负担。SV可以很容易地添加到植入医生的导线管理选项中。
