A Novel Approach to ICD Lead Revision in a Patient with Extensive Vascular Thrombosis
Chronic extensive thrombosis of the venous system is a commonly encountered problem in end stage renal disease (ESRD) patients undergoing transvenous device implantation, lead extraction or lead revision. We describe a case of an ESRD patient with an implantable cardioverter defibrillator (ICD) that...
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Format: | Article |
Language: | English |
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Elsevier
2010-02-01
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Series: | Indian Pacing and Electrophysiology Journal |
Subjects: | |
Online Access: | http://www.ipej.org/1002/jacob.htm |
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author | Sony Jacob Deepti Bhandare Anil Mathew M Salik Jahania |
author_facet | Sony Jacob Deepti Bhandare Anil Mathew M Salik Jahania |
author_sort | Sony Jacob |
collection | DOAJ |
description | Chronic extensive thrombosis of the venous system is a commonly encountered problem in end stage renal disease (ESRD) patients undergoing transvenous device implantation, lead extraction or lead revision. We describe a case of an ESRD patient with an implantable cardioverter defibrillator (ICD) that failed to deliver therapy due to lead fracture. Patient needed revision of the ICD lead system, but had extensive axillary-subclavian-superior vena cava occlusion. Patient refused a thoracotomy approach as well as lead extraction as he had a complicated course of lead extraction in the past. We successfully improvised a novel technique to revise the ICD system. |
first_indexed | 2024-12-14T11:49:30Z |
format | Article |
id | doaj.art-9705df1aeed2493ca132e5c20e4a72c7 |
institution | Directory Open Access Journal |
issn | 0972-6292 |
language | English |
last_indexed | 2024-12-14T11:49:30Z |
publishDate | 2010-02-01 |
publisher | Elsevier |
record_format | Article |
series | Indian Pacing and Electrophysiology Journal |
spelling | doaj.art-9705df1aeed2493ca132e5c20e4a72c72022-12-21T23:02:25ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922010-02-01102108111A Novel Approach to ICD Lead Revision in a Patient with Extensive Vascular ThrombosisSony JacobDeepti BhandareAnil MathewM Salik JahaniaChronic extensive thrombosis of the venous system is a commonly encountered problem in end stage renal disease (ESRD) patients undergoing transvenous device implantation, lead extraction or lead revision. We describe a case of an ESRD patient with an implantable cardioverter defibrillator (ICD) that failed to deliver therapy due to lead fracture. Patient needed revision of the ICD lead system, but had extensive axillary-subclavian-superior vena cava occlusion. Patient refused a thoracotomy approach as well as lead extraction as he had a complicated course of lead extraction in the past. We successfully improvised a novel technique to revise the ICD system.http://www.ipej.org/1002/jacob.htmICD Lead RevisionExtensive Vascular Thrombosis |
spellingShingle | Sony Jacob Deepti Bhandare Anil Mathew M Salik Jahania A Novel Approach to ICD Lead Revision in a Patient with Extensive Vascular Thrombosis Indian Pacing and Electrophysiology Journal ICD Lead Revision Extensive Vascular Thrombosis |
title | A Novel Approach to ICD Lead Revision in a Patient with Extensive Vascular Thrombosis |
title_full | A Novel Approach to ICD Lead Revision in a Patient with Extensive Vascular Thrombosis |
title_fullStr | A Novel Approach to ICD Lead Revision in a Patient with Extensive Vascular Thrombosis |
title_full_unstemmed | A Novel Approach to ICD Lead Revision in a Patient with Extensive Vascular Thrombosis |
title_short | A Novel Approach to ICD Lead Revision in a Patient with Extensive Vascular Thrombosis |
title_sort | novel approach to icd lead revision in a patient with extensive vascular thrombosis |
topic | ICD Lead Revision Extensive Vascular Thrombosis |
url | http://www.ipej.org/1002/jacob.htm |
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