Upgrade of a pacemaker defibrillator to a biventricular device: the internal jugular vein approach in a case of bilateral subclavian veins occlusion.
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.
Bosa-Ojeda
F
F
Haemodinamic and Interventional Cardiology Unit, Department of Cardiology, University Hospital of Canary Island, Tenerife, Spain.
Bethencourt-Muñoz
M
M
Vargas-Torres
M
M
Lara-Paorón
A
A
Rodriguez-Gonzalez
A
A
Marrero-Rodriguez
F
F
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