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Updated: Aug 7, 2026

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
Lead insertion by supraclavicular approach of the subclavian vein puncture
D Antonelli1, N A Freedberg, T Rosenfeld
1Dept. of Cardiology, Ha'Emek Medical Center, 18101 Afula, Israel. antonelli_dante@hotmail.com
Abstract:
Total occlusion of the left subclavian vein was diagnosed in a 76-year-old patient, 6 years after implantation of an ICD with VVI pacing backup. Replacement of the ICD included upgrading of the ICD system because of the presence of pacemaker syndrome when the patient was VVI paced. Insertion of an atrial lead through the ipsilateral vein system was made possible by using the supraclavicular approach of the subclavian, enabling puncturing of the left subclavian vein medially to the obstruction.
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