title: Left-sided ICD implantation via right-sided venous access in a patient with left hemodialysis fistula.
abstract: A sufficient patency of the central vein ipsilateral to atriovenous fistula is the lifeline for hemodialysis patients. We describe a case with left dialysis fistula who underwent left-sided pectoral implantation of an implantable cardioverter defibrillator via right subclavicular venous access in order to avoid the possibility of development of left subclavian stenosis or occlusion and to achieve lower defibrillation thresholds. This approach may serve as an alternative choice in patients unsuitable for left-sided venous access and with higher defibrillation thresholds on right-positioned implantable cardioverter defibrillator.
authors.affiliation: Department of Medicine and Biological Science, Gunma University Graduate School of Medicine, Maebashi.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Saito
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Kaneko
authors.forename: Tadashi
authors.initials: T
authors.lastname: Nakajima
authors.forename: Tadanobu
authors.initials: T
authors.lastname: Irie
authors.forename: Masaki
authors.initials: M
authors.lastname: Ota
authors.forename: Toshimitsu
authors.initials: T
authors.lastname: Kato
authors.forename: Takafumi
authors.initials: T
authors.lastname: Iijima
authors.forename: Masahiro
authors.initials: M
authors.lastname: Akiyama
authors.forename: Toshio
authors.initials: T
authors.lastname: Ito
authors.forename: Mamoru
authors.initials: M
authors.lastname: Manita
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kurabayashi
mesh_terms: D000368:Aged; D001166:Arteriovenous Shunt, Surgical; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D017147:Defibrillators, Implantable; D006801:Humans; D008297:Male; D006435:Renal Dialysis; D013350:Subclavian Vein / Q000601:surgery