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- Title
Modified Pull-Through Technique for Cardiac Resynchronization Therapy Upgrades in Patients with Occluded Access Veins.
- Authors
Imnadze, Guram; Awad, Khaled; Kranig, Wolfgang; Giorgberidze, Irakli
- Abstract
The number of procedures for upgrading implantable devices for cardiac resynchronization therapy has increased considerably during the last decade. A major challenge that operators face in these circumstances is occlusion of the access vein. We have modified a pull-through method to overcome this obstacle. Six consecutive patients with occluded access veins and well-developed collateral networks underwent a procedure in which the occluded vein was recanalized by snaring the existing atrial lead via transfemoral access. Upgrading the device was successful in all patients; none had intraprocedural complications. Our experience shows that our modified pull-through technique may be a feasible alternative for upgrading cardiac resynchronization therapy in patients with venous occlusion.
- Subjects
CARDIAC pacing; VEINS; ARTIFICIAL implants; TREATMENT effectiveness
- Publication
Texas Heart Institute Journal, 2020, Vol 47, Issue 1, p23
- ISSN
1526-6702
- Publication type
Article
- DOI
10.14503/THIJ-18-6713