Overcoming a subclavian complete occlusion: Simple single lead extraction by the subclavian vein allowing implantation of two new leads and upgrade to CRT-P with multi-site pacing

Central venous obstruction following pacemaker implantation is not uncommon, and can prove challenging in the case of system upgrade. We report a case of DDDR to CRT-P (with multi-site pacing) upgrade, where a subclavian occlusion was overcome resorting to an atrial lead extraction (using only a loc...

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Detalles Bibliográficos
Autores principales: Nobre Menezes, Miguel, Bernardes, Ana, de Sousa, João, Marques, Pedro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4750117/
https://www.ncbi.nlm.nih.gov/pubmed/26937097
http://dx.doi.org/10.1016/j.ipej.2015.07.008
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author Nobre Menezes, Miguel
Bernardes, Ana
de Sousa, João
Marques, Pedro
author_facet Nobre Menezes, Miguel
Bernardes, Ana
de Sousa, João
Marques, Pedro
author_sort Nobre Menezes, Miguel
collection PubMed
description Central venous obstruction following pacemaker implantation is not uncommon, and can prove challenging in the case of system upgrade. We report a case of DDDR to CRT-P (with multi-site pacing) upgrade, where a subclavian occlusion was overcome resorting to an atrial lead extraction (using only a locking stylet). This allowed regaining of the venous access with subsequent implantation of not just one, but two new leads and subsequent successful upgrade.
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spelling pubmed-47501172016-03-02 Overcoming a subclavian complete occlusion: Simple single lead extraction by the subclavian vein allowing implantation of two new leads and upgrade to CRT-P with multi-site pacing Nobre Menezes, Miguel Bernardes, Ana de Sousa, João Marques, Pedro Indian Pacing Electrophysiol J Case Report Central venous obstruction following pacemaker implantation is not uncommon, and can prove challenging in the case of system upgrade. We report a case of DDDR to CRT-P (with multi-site pacing) upgrade, where a subclavian occlusion was overcome resorting to an atrial lead extraction (using only a locking stylet). This allowed regaining of the venous access with subsequent implantation of not just one, but two new leads and subsequent successful upgrade. Elsevier 2015-07-29 /pmc/articles/PMC4750117/ /pubmed/26937097 http://dx.doi.org/10.1016/j.ipej.2015.07.008 Text en Copyright © 2015, Indian Heart Rhythm Society. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nobre Menezes, Miguel
Bernardes, Ana
de Sousa, João
Marques, Pedro
Overcoming a subclavian complete occlusion: Simple single lead extraction by the subclavian vein allowing implantation of two new leads and upgrade to CRT-P with multi-site pacing
title Overcoming a subclavian complete occlusion: Simple single lead extraction by the subclavian vein allowing implantation of two new leads and upgrade to CRT-P with multi-site pacing
title_full Overcoming a subclavian complete occlusion: Simple single lead extraction by the subclavian vein allowing implantation of two new leads and upgrade to CRT-P with multi-site pacing
title_fullStr Overcoming a subclavian complete occlusion: Simple single lead extraction by the subclavian vein allowing implantation of two new leads and upgrade to CRT-P with multi-site pacing
title_full_unstemmed Overcoming a subclavian complete occlusion: Simple single lead extraction by the subclavian vein allowing implantation of two new leads and upgrade to CRT-P with multi-site pacing
title_short Overcoming a subclavian complete occlusion: Simple single lead extraction by the subclavian vein allowing implantation of two new leads and upgrade to CRT-P with multi-site pacing
title_sort overcoming a subclavian complete occlusion: simple single lead extraction by the subclavian vein allowing implantation of two new leads and upgrade to crt-p with multi-site pacing
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4750117/
https://www.ncbi.nlm.nih.gov/pubmed/26937097
http://dx.doi.org/10.1016/j.ipej.2015.07.008
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