lead-related venous occlusion;
lead extraction;
recapture of venous access;
VEIN;
OCCLUSION;
IMPLANTATION;
REPLACEMENT;
VENOPLASTY;
D O I:
10.5603/CJ.2012.0093
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
We report the case of the extraction of 18 year-old leads in a patient with a DDD pacemaker, and chronic obstruction of the left subclavian and innominate, veins coexisting with extensive stenoses in the upper caved vein: After removal of pacing leads, angiographic guidewires were introduced via the Byrd dilatators and new pacing leads introduced with the use of long sheaths originally dedicated for transvenous left ventricular leads implantation. With this case, we discuss the problemarising during reimplantation of pacing leads in patients with chronic venous occlusion. (Cardiol J 2012; 19, 5: 513-517)