ICD Lead Implantation Following Sharp Cannulation of a Blocked Superior Vena Cava

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. (PACE 2011; 34:e82–e84)

[1]  R. Hauer,et al.  Current state of knowledge and experts’ perspective on the subcutaneous implantable cardioverter-defibrillator , 2009, Journal of Interventional Cardiac Electrophysiology.

[2]  R. Prêtre,et al.  Epicardial and pleural lead ICD systems in children and adolescents maintain functionality over 5 years. , 2008, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[3]  M. McDaniel,et al.  Implantation of Implantable Cardioverter-Defibrillators from an Ileofemoral Approach , 2004, Journal of Interventional Cardiac Electrophysiology.

[4]  B. Pua,et al.  Transatrial Dual Chamber Biventricular Pacemaker‐Defibrillator Placement in a Patient with SVC Obstruction , 2003, Pacing and clinical electrophysiology : PACE.

[5]  R. Pachulski,et al.  Innovative endovascular defibrillator lead use in superior vena cava obstruction. , 2002, Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing.

[6]  T. Murphy.  Sharp recanalization of central venous occlusions. , 1999, Journal of vascular and interventional radiology : JVIR.