Modified Pull-Through Technique for Cardiac Resynchronization Therapy Upgrades in Patients with Occluded Access Veins

Texas Heart Institute Journal
Guram ImnadzeIrakli Giorgberidze

Abstract

The number of procedures for upgrading implantable devices for cardiac resynchronization therapy has increased considerably during the last decade. A major challenge that operators face in these circumstances is occlusion of the access vein. We have modified a pull-through method to overcome this obstacle. Six consecutive patients with occluded access veins and well-developed collateral networks underwent a procedure in which the occluded vein was recanalized by snaring the existing atrial lead via transfemoral access. Upgrading the device was successful in all patients; none had intraprocedural complications. Our experience shows that our modified pull-through technique may be a feasible alternative for upgrading cardiac resynchronization therapy in patients with venous occlusion.

References

Jun 20, 1998·Pacing and Clinical Electrophysiology : PACE·Y GotoT Sakurada
Jul 3, 2007·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Dominic P S RogersAnthony W C Chow
Sep 25, 2008·Pacing and Clinical Electrophysiology : PACE·Herbert NägeleMaria A Castel
Jul 24, 2012·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Gabriel MaluendaNelson L Bernardo
Nov 14, 2017·Journal of Cardiovascular Electrophysiology·Olivier A WittePeter Paul H M Delnoy

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