title: Successful pacemaker lead implantation via the subclavian vein despite of high degree stenosis of the vein.
abstract: This case reports on an 81-year-old man with implanted dual-chamber pacemaker for binodal disease who required ventricular lead revision due to loss of ventricular capture. Successful placement of a new lead via the subclavian vein despite of high degree stenosis of the medial part of the vein is described using a very thin bipolar ventricular pacing lead. Currently available pacing electrodes for this purpose are reviewed.
authors.affiliation: Deutsches Herzzentrum München and 1. Med. Klinik, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany. kolb@dhm.mhn.de
authors.forename: Christof
authors.initials: C
authors.lastname: Kolb
authors.forename: Bernhard
authors.initials: B
authors.lastname: Zrenner
authors.forename: Claus
authors.initials: C
authors.lastname: Schmitt
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000379:methods; D003251:Constriction, Pathologic; D004867:Equipment Design; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D013350:Subclavian Vein; D014652:Vascular Diseases