Manongi Ngoda, Goldbarg Seth
Department of Internal Medicine, New York Presbyterian Queens, Flushing, New York, USA.
Division of Cardiology, New York Presbyterian Queens, Flushing, New York, USA.
Pacing Clin Electrophysiol. 2023 Apr;46(4):327-331. doi: 10.1111/pace.14620. Epub 2022 Nov 26.
Placement of coronary sinus (CS) leads is predominantly accomplished via the left cephalic-axillary-subclavian venous system. However, vein stenosis or occlusion from long-term chronic hemodialysis (HD) in patients with end-stage renal failure can pose a challenge. Cannulation of the CS via the left internal jugular vein (IJV) is technically difficult but often feasible. We report a case in which a patient with end-stage renal disease (ESRD) had extensive left venous system occlusion from prior in dwelling HD catheters, and an AV fistula contralaterally, who underwent biventricular implantable cardioverter defibrillator placement with lead insertion through the left IJV.
冠状窦（CS）导联的放置主要通过左头静脉-腋静脉-锁骨下静脉系统完成。然而，终末期肾衰竭患者长期慢性血液透析（HD）导致的静脉狭窄或闭塞可能会带来挑战。经左颈内静脉（IJV）插入CS导管在技术上有难度，但通常是可行的。我们报告了一例终末期肾病（ESRD）患者，其因既往留置HD导管导致左静脉系统广泛闭塞，且对侧有动静脉瘘，该患者接受了双心室植入式心脏复律除颤器植入，电极通过左IJV插入。
