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Updated: Jun 17, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
Supraclavicular vein approach for upgrading an implantable cardioverter defibrillator to a biventricular device
Dante Antonelli1, Nahum A Freedberg, Yoav Turgeman
1Department of Cardiology, HaEmek Medical Center, Afula, Israel. antonelli_dante@hotmail.com
Abstract:
Total occlusion of the left subclavian vein was found in a 52-year-old patient, 5 years after implantation of an implantable cardioverter defibrillator (ICD). During replacement, the ICD was upgraded to a biventricular device for worsening of the patient's congestive heart failure to New York Heart Association class III. Insertion of the left ventricular lead in the ipsilateral vein system was successfully achieved by using the supraclavicular approach, enabling puncturing of the left subclavian vein medially to the obstruction.
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