Deployment of left ventricular lead from the ipsilateral side of central vein obstruction.
Cardiac resynchronisation therapy improves symptoms and reduces mortality in patients with chronic heart failure. In patients with previously implanted devices, particularly automatic defibrillators, central venous stenoses provide a challenge to upgrading to resynchronisation devices. We present a patient with central venous obstruction secondary to previously implanted defibrillator leads, in whom we achieved coronary sinus pacing through the ipsilateral internal jugular vein.
Division of Cardiology, University Health Network, University of Toronto, Canada. klauswitte@hotmail.com
Klaus K A
KK
Witte
Sue J
SJ
Kelly
John D
JD
Parker
Kumaraswamy
K
Nanthakumar
D000368:Aged; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000628:therapy*; D006328:Cardiac Catheterization / Q000379:methods; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal; D004562:Electrocardiography; D004567:Electrodes, Implanted / Q000009:adverse effects; D004868:Equipment Failure; D005500:Follow-Up Studies; D006352:Heart Ventricles; D006801:Humans; D007601:Jugular Veins; D008297:Male; D010690:Phlebography; D012720:Severity of Illness Index; D013923:Thromboembolism / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome