“Inside‐Out” Central Venous Access approach with infraclavicular exit for right‐sided CRT‐D Implantation in bilateral brachiocephalic and superior vena cava occlusion

Tonko, Johanna; Black, Stephen; Rinaldi, Christopher A.

doi:10.1002/ccr3.3980

Cited by 3 publications

(1 citation statement)

References 11 publications

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“… Inside-out central venous access with right infraclavicular exit in superior vena cava occlusion (adapted from Ref. 21 ). ( A ) Venogram via femoral working sheath demonstrates occluded SVC.…”

Section: Venous Access Optionsmentioning

confidence: 99%

Non-traditional implantable cardioverter-defibrillator configurations and insertion techniques: a review of contemporary options

Tonko

Rinaldi

2021

EP Europace

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Implantable cardioverter-defibrillators (ICDs) have revolutionized the treatment of acquired or inherited cardiac diseases associated with a high risk of sudden cardiac death due to ventricular tachyarrhythmias. Contemporary ICD devices offer reliable arrhythmia detection and discrimination algorithms and deliver highly efficient tachytherapies. Percutaneously inserted transvenous defibrillator coils with pectoral generator placement are the first-line approach in the majority of adults due to their extensively documented clinical benefit and efficiency with comparably low periprocedural implantation risks as well as the option of providing pain-free tachycardia treatment via anti-tachycardia pacing (ATP), concomitant bradycardiaprotection, and incorporation in a cardiac resynchronization therapy if indicated. Yet, expanding ICD indications particularly among younger and more complex patient groups as well as the increasingly evident long-term consequences and complications associated with intravascular lead placements promoted the development of alternative ICD configurations. Most established in daily clinical practice is the subcutaneous ICD but other innovative extravascular approaches like epicardial, pericardial, extra-pleural, and most recently substernal defibrillator coil placements have been introduced as well to overcome shortcomings associated with traditional devices and allow for individualized treatment strategies tailored to the patients characteristics and needs. The review aims to provide practical solutions for common complications encountered with transvenous ICD systems including restricted venous access, high defibrillation/fibrillation thresholds (DFTs), and recurrent device infections. We summarize the contemporary options for non-traditional extravascular ICD configurations outlining indications, advantages, and disadvantages.

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Section: Venous Access Optionsmentioning

confidence: 99%

Non-traditional implantable cardioverter-defibrillator configurations and insertion techniques: a review of contemporary options

Tonko

Rinaldi

2021

EP Europace

Self Cite

View full text Add to dashboard Cite

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Percutaneous creation of de novo superior vena cava/right atrium conduit for cardiac resynchronization therapy upgrade

Rathore,

Mannion,

Lyne

et al. 2024

HeartRhythm Case Reports

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“Inside-out” technique to allow conduction system pacing in superior vena cava obstruction

Liew,

Wijesuriya,

de Vere

et al. 2024

HeartRhythm Case Reports

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“Inside‐Out” Central Venous Access approach with infraclavicular exit for right‐sided CRT‐D Implantation in bilateral brachiocephalic and superior vena cava occlusion

Abstract: The use of the “inside‐out” approach with an infraclavicular exit site with a dedicated system in the presence of complex central venous occlusion is feasible and safe for the implantation of complex cardiac devices.

Cited by 3 publications

References 11 publications

Non-traditional implantable cardioverter-defibrillator configurations and insertion techniques: a review of contemporary options

Non-traditional implantable cardioverter-defibrillator configurations and insertion techniques: a review of contemporary options

Percutaneous creation of de novo superior vena cava/right atrium conduit for cardiac resynchronization therapy upgrade

“Inside-out” technique to allow conduction system pacing in superior vena cava obstruction

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