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ICD lead implantation following sharp cannulation of a blocked superior vena cava
Praveen P Sadarmin1, Raman Uberoi, David R Tomlinson
1Department of Cardiac Rhythm Management, Oxford Radcliffe Hospitals NHS Trust, Oxford, UK.
Abstract:
Blocked superior vena cava (SVC) presents a well-recognized problem for the implantation of device leads. Implantable cardioverter defibrillator (ICD) leads pose a greater challenge than the pacing leads by requiring an adequate shock vector for successful defibrillation. We present here a novel technique of opening the blocked SVC to facilitate ICD lead implantation through the upper venous system.
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