Extraction and reimplantation of defibrillation leads through a thrombotic subclavian vein.
Venous thrombosis is one of the most frequently encountered obstacles when reintervening on endocardial leads. We report on two patients with a ventricular defibrillator requiring lead replacement in whom a subclavian vein thrombosis was documented prior to the intervention. We recanalized the vein and replaced the lead through the same path to preserve the venous access.
Service de Cardiologie A, Hôpital Cardiologique, Lille, France.
P
P
Le Franc
D
D
Klug
M
M
Jarwe
P
P
Delfaut
D
D
Lacroix
C
C
Kouakam
S
S
Kacet
D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D019233:Retreatment; D013350:Subclavian Vein / Q000000981:diagnostic imaging*; D013927:Thrombosis / Q000000981:diagnostic imaging*