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Indian Journal of Thoracic and Cardiovascular Surgery

Published in:

01-07-2018 | Case report

Retrosternal lead placement: an attractive alternative to subcutaneous tunneling

Authors: Nicholas Stanley Clarke, Raghav Murthy, Michael Erik Jessen

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 3/2018

Abstract

Complex lead placement is on the rise. When ipsilateral lead placement is unavailable, a retrosternal approach offers minimal cosmetic defects while minimizing lead injury. A retrosternal technique has yet to be described in the literature. Here, we describe our technique, tricks, and pitfalls to performing such an operation in three patients.

Dickstein K, Vardas PE, Auricchio A, et al. Focused Update of ESC Guidelines on device therapy in heart failure: an update of the 2008 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure and the 2007 ESC guidelines for cardiac and resynchronization therapy. Developed with the special contribution of the Heart Failure Association and the European Heart Rhythm Association. Eur Heart J. 2010;31:2677–87.

Voigt A, Shalaby A, Saba S. Continued rise in rates of cardiovascular implantable electronic device infections in the United States: temporal trends and causative insights. Pacing Clin Electrophysiol. 2010;33:414–9.CrossRefPubMed

Sadarmin PP, Chelliah RK, Timperley J. Contralateral transvenous left ventricular lead placement of implantable devices with pre-sternal tunnelling in chronically obstructed subclavian veins. Indian Pacing Electrophysiol J. 2015;15:113–117.

Jaroszewski DE, Altemose GT, Scott LR, et al. Nontraditional surgical approaches for implantation of pacemaker and cardioverter defibrillator systems in patients with limited venous access. Ann Thorac Surg. 2009;88:112–116.

Poole JE, Gleva MJ, Mela T,et al. Complication rates associated with pacemaker or implantable cardioverter-defibrillator generator replacements and upgrade procedures. Circulation. 2010;122:1553–61.

Bhagwandien RE, Kik C, Yap SC, Szili-TorokT. Substernal ICD lead implantation in a patient not suitable for subcutaneous ICD implantation without venous access due to superior vena cava syndrome. HeartRhythm Case Rep. 2017;3:97–99.

Molina JE. Surgical options for endocardial lead placement when upper veins are obstructed or nonusable. J Interv Card Electrophysiol. 2004;11:149–154.

Title: Retrosternal lead placement: an attractive alternative to subcutaneous tunneling
Authors: Nicholas Stanley Clarke
Raghav Murthy
Michael Erik Jessen
Publication date: 01-07-2018
Publisher: Springer Singapore
Published in: Indian Journal of Thoracic and Cardiovascular Surgery / Issue 3/2018
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI: https://doi.org/10.1007/s12055-017-0601-3

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Springer Medicine

Retrosternal lead placement: an attractive alternative to subcutaneous tunneling

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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