title: [Necessity of endocardial lead removal in device upgrade in a patient with left subclavian vein occlusion - a case report].
abstract: We describe a method of regaining venous access to the heart in a patient with permanent atrial stimulation, in whom the pacing system upgrade to the atrio-ventricular one was necessary. However, left subclavian vein occlusion was found. We used an existing lead as a conduit. During such treatment the lead was removed. After a recanalisation the therapeutic aim was achieved - there were two new leads implanted.
authors.affiliation: Oddział Kliniczny Elektrokardiologii, Krakowski Szpital Specjalistyczny im. Jana Pawła II, Kraków.
authors.forename: Barbara
authors.initials: B
authors.lastname: Małecka
authors.forename: Andrzej
authors.initials: A
authors.lastname: Zabek
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kutarski
authors.forename: Andrzej
authors.initials: A
authors.lastname: Maziarz
authors.forename: Jacek
authors.initials: J
authors.lastname: Lelakowski
mesh_terms: D000368:Aged; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D017147:Defibrillators, Implantable; D020878:Device Removal / Q000379:methods*; D005260:Female; D006801:Humans; D010138:Pacemaker, Artificial; D011474:Prosthesis Design; D011475:Prosthesis Failure; D013350:Subclavian Vein; D020246:Venous Thrombosis / Q000628:therapy*