title: [Significance of the contralateral approach combined with venous deocclusion in a case of biventricular defibrillator implantation].
abstract: The authors report the case of a patient in whom a biventricular defibrillator was successfully implanted from the right, following a failed approach from the left. The patient had chronic thrombosis of the subclavian vein, and this procedure was only possible after venous deocclusion and the positioning of an endoprosthesis. The authors underline the significance of the contralateral approach in case of difficulties in inserting pacing devices, as well as the complementary benefits of interventional radiological procedures in order to allow vascular access in cases of chronic venous thrombosis.
authors.affiliation: Service de cardiologie et urgences cardiologiques, CHU Albert-Michalon, Grenoble cedex 9. PJacon@chu-grenoble.fr
authors.forename: P
authors.initials: P
authors.lastname: Jacon
authors.forename: A
authors.initials: A
authors.lastname: Benhalima
authors.forename: F
authors.initials: F
authors.lastname: Thony
authors.forename: P
authors.initials: P
authors.lastname: Defaye
mesh_terms: D017147:Defibrillators, Implantable; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013514:Surgical Procedures, Operative / Q000379:methods; D014693:Ventricular Fibrillation / Q000000981:diagnostic imaging / Q000601:surgery*