title: Upgrade of a pacemaker defibrillator to a biventricular device: the internal jugular vein approach in a case of bilateral subclavian veins occlusion.
abstract: Cardiac resynchronization improves survival and functional class of patients with advanced chronic heart failure. Placement of a stimulation electrode in the coronary sinus via the left subclavian vein is not always possible and other alternatives are required, above all when it concerns upgrading a previous device. This paper presents the case of a patient with a pacemaker/defibrillator and occlusion of both subclavian veins who had a stimulation electrode successfully placed in the coronary sinus via the right internal jugular.
authors.affiliation: Haemodinamic and Interventional Cardiology Unit, Department of Cardiology, University Hospital of Canary Island, Tenerife, Spain.
authors.forename: F
authors.initials: F
authors.lastname: Bosa-Ojeda
authors.forename: M
authors.initials: M
authors.lastname: Bethencourt-Muñoz
authors.forename: M
authors.initials: M
authors.lastname: Vargas-Torres
authors.forename: A
authors.initials: A
authors.lastname: Lara-Paorón
authors.forename: A
authors.initials: A
authors.lastname: Rodriguez-Gonzalez
authors.forename: F
authors.initials: F
authors.lastname: Marrero-Rodriguez
mesh_terms: D002304:Cardiac Pacing, Artificial; D054326:Coronary Sinus / Q000473:pathology; D017147:Defibrillators, Implantable; D004594:Electrophysiology / Q000379:methods; D006801:Humans; D007601:Jugular Veins / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D010690:Phlebography / Q000379:methods; D013902:Radiography, Thoracic / Q000379:methods; D013350:Subclavian Vein / Q000473:pathology