ICD implantation after crossing a totally occluded subclavian vein via collaterals from the superior vena cava.
Placing an implantable cardioverter-defibrillator is a challenge in the presence of bilateral venous obstruction of the upper extremities. We describe a case where venous access was obtained by passing a hydrophilic wire from the superior vena cava through collaterals to the infraclavicular region.
Ranjan
Ravi
R
Division of Cardiology, Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD 21287, USA. rranjan3@jhmi.edu
Henrikson
Charles A
CA
D017147:Defibrillators, Implantable; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013350:Subclavian Vein / Q000503:physiopathology / Q000601:surgery*; D014683:Vena Cava, Superior / Q000601:surgery*; D020246:Venous Thrombosis / Q000503:physiopathology