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Updated: Jun 14, 2026

06:04
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Femoral vein implantation with subclavian vein pullthrough for left ventricular lead placement
Paramdeep S Dhillon1, Mark M Gallagher
1Department of Cardiology, St Georges Hospital, Blackshaw Road, London SW17 0QT, UK.
Abstract:
Variations of coronary sinus anatomy can make a superior approach difficult or even impossible for left ventricular (LV) lead delivery. We describe a new technique in which the LV lead was placed in a cardiac vein via the right femoral vein and then pulled up through the venous circulation to the subclavian vein and a conventionally sited generator.
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