Lead addition in a patient with bilateral subclavian vein occlusion

Research output: Chapter in Book/Report/Conference proceedingChapter


The need to add a new lead to a CIED system is not uncommon, either due to lead malfunction or system “upgrade”. Occlusion of the subclavian and/or superior vena cava may cause significant difficulty for the implanter by blocking access to the heart. Lead extraction provides the ability to create a new conduit, and thereby prevent the need for performing an epicardial lead placement or risking bilateral venous occlusions. This case discusses a patient with bilateral subclavian vein occlusions and need for a new dual chamber pacing system.

Original languageEnglish (US)
Title of host publicationCardiac Electrophysiology
Subtitle of host publicationClinical Case Review
PublisherSpringer International Publishing
Number of pages2
ISBN (Electronic)9783030285333
ISBN (Print)9783030285319
StatePublished - Jan 1 2020


  • CIED upgrade
  • Lead extraction
  • Occluded superior subclavian vein
  • Shared decision making

ASJC Scopus subject areas

  • Medicine(all)


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