Idiopathic left innominate vein stenosis during pacemaker implantation with venoplasty in a retrograde approach  Danny HF Chow, MBBS, FHKCP, Chi Chung.

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Presentation transcript:

Idiopathic left innominate vein stenosis during pacemaker implantation with venoplasty in a retrograde approach  Danny HF Chow, MBBS, FHKCP, Chi Chung Choy, MBBS, FHKCP, Ngai Yin Chan, MBBS, FHKCP  HeartRhythm Case Reports  Volume 2, Issue 4, Pages 310-312 (July 2016) DOI: 10.1016/j.hrcr.2016.03.006 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 After successful wiring with a 0.35 in Terumo guidewire, venogram confirmed the site of stenosis at the junction of the left subclavian vein and left innominate vein. HeartRhythm Case Reports 2016 2, 310-312DOI: (10.1016/j.hrcr.2016.03.006) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 Venoplasty was performed with strong support by placement of the Judkins Right 4 guiding catheter proximal to the stenotic site and passing the Grandslam guidewire down the left brachial vein. HeartRhythm Case Reports 2016 2, 310-312DOI: (10.1016/j.hrcr.2016.03.006) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 3 Venogram after venoplasty reviewed well-developed collaterals at the junction between the left subclavian vein and left innominate vein, suggesting the stenosis was chronic. HeartRhythm Case Reports 2016 2, 310-312DOI: (10.1016/j.hrcr.2016.03.006) Copyright © 2016 Heart Rhythm Society Terms and Conditions