Zhong JY, Zheng XW, Li HD, Jiang LF. Successful upgrade to cardiac resynchronization therapy for cardiac implantation-associated left subclavian vein occlusion: A case report. World J Clin Cases 2021; 9(13): 3157-3162 [PMID: 33969103 DOI: 10.12998/wjcc.v9.i13.3157]
Corresponding Author of This Article
Heng-Dong Li, MM, Doctor, Department of Cardiology, Ningbo Second Hospital, No. 41 Northwest Street, Ningbo 315010, Zhejiang Province, China. lhdlhdlhdd@163.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Jin-Yan Zhong, Heng-Dong Li, Long-Fu Jiang, Department of Cardiology, Ningbo Second Hospital, Ningbo 315010, Zhejiang Province, China
Xiao-Wei Zheng, Department of Geriatrics, Ningbo First Hospital, Ningbo 315010, Zhejiang Province, China
Author contributions: Zhong JY was a major contributor in writing the manuscript; Zheng XW managed routine follow-up visits, performed the operation, collected the patient information; Zhong JY analyzed and interpreted the patient data regarding the heart disease; Li HD and Jiang LF were major contributors in performing the operation; all authors read and approved the final manuscript.
Supported byThe Ningbo Natural Science Foundation of China, No. 2019A610342; and the Ningbo Health Branding Subject Fund, No. PPXK2018-01.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Heng-Dong Li, MM, Doctor, Department of Cardiology, Ningbo Second Hospital, No. 41 Northwest Street, Ningbo 315010, Zhejiang Province, China. lhdlhdlhdd@163.com
Received: November 30, 2020 Peer-review started: November 30, 2020 First decision: December 24, 2020 Revised: January 12, 2021 Accepted: February 12, 2021 Article in press: February 12, 2021 Published online: May 6, 2021
Abstract
BACKGROUND
Subclavian vein stenosis or occlusion may be caused by a transvenous pacemaker, which makes the reimplantation of a new pacemaker lead difficult. Transvenous pacemaker lead implantation-related subclavian vein occlusion may present difficulty with regard to cardiac resynchronization therapy (CRT) upgrade.
CASE SUMMARY
We report the case of a 46-year-old man who was admitted with total subclavian vein occlusion caused by a permanent pacemaker that had been implanted 2 years previously. We successfully treated this patient with an upgrade to a CRT pacemaker by utilizing transferable interventional coronary and radiological techniques. The patient recovered uneventfully during the follow-up period.
CONCLUSION
CRT upgrade is still a viable technique for the treatment of subclavian vein obstruction caused by previous pacemaker implantation.
Core Tip: Subclavian vein stenosis or occlusion may be caused by a transvenous pacemaker, which makes the reimplantation of a new pacemaker lead difficult. Transvenous pacemaker lead implantation-related subclavian vein obstruction may present difficulty with regard to cardiac resynchronization therapy (CRT) upgrade. We successfully treated a patient who was admitted with total subclavian vein occlusion caused by a permanent pacemaker that had been implanted 2 years previously, with an upgrade to a CRT pacemaker by utilizing transferable interventional coronary and radiological techniques.
