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.

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