ICD lead implantation following sharp cannulation of a blocked superior vena cava.
Blocked superior vena cava (SVC) presents a well-recognized problem for the implantation of device leads. Implantable cardioverter defibrillator (ICD) leads pose a greater challenge than the pacing leads by requiring an adequate shock vector for successful defibrillation. We present here a novel technique of opening the blocked SVC to facilitate ICD lead implantation through the upper venous system.
Sadarmin
Praveen P
PP
Department of Cardiac Rhythm Management, Oxford Radcliffe Hospitals NHS Trust, Oxford, UK.
Uberoi
Raman
R
Tomlinson
David R
DR
Betts
Timothy R
TR
D000368:Aged; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D017147:Defibrillators, Implantable; D006801:Humans; D008297:Male; D011859:Radiography; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome