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Coring Recanalization of a Chronically Occluded Left Subclavian Vein
Sanoj Chacko1, Sohaib Haseeb1, Kevin A Michael1
1Heart Rhythm Service, Kingston General Hospital, Queen's University, Kingston, ON, Canada.
Insights
A novel coring technique effectively treated chronic subclavian vein occlusions in an 82-year-old male, enabling successful implantable cardioverter-defibrillator placement. This interventional cardiology strategy addresses lead-related venous stenosis.
Area of Science:
- Interventional Cardiology
- Vascular Access Management
Background:
- Chronic subclavian vein occlusions, often caused by previously implanted leads, pose challenges for cardiovascular device placement.
- Short linear segmental occlusions can impede venous access and necessitate alternative treatment strategies.
Abstract:
A coring technique is an effective strategy to overcome short linear segmental chronic occlusions in subclavian veins caused by previously implanted leads. We present the case of an 82-year-old male who was transferred from a primary care center for consideration for implantable cardioverter-defibrillator placement following an episode of sustained monomorphic ventricular tachycardia and hemodynamic compromise that required direct-current cardioversion. A coring technique was successfully used in this patient.
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