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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Main Authors: Sony Jacob, Deepti Bhandare, Anil Mathew, M Salik Jahania
Format: Article
Language:English
Published: Elsevier 2010-02-01
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.
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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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