Successful upgrade to cardiac resynchronization therapy for cardiac implantation-associated left subclavian vein occlusion: A case report

doi:10.12998/wjcc.v9.i13.3157

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World Journal of Clinical Cases

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Case Report

World J Clin Cases. May 6, 2021; 9(13): 3157-3162
Published online May 6, 2021. doi: 10.12998/wjcc.v9.i13.3157

Successful upgrade to cardiac resynchronization therapy for cardiac implantation-associated left subclavian vein occlusion: A case report

Jin-Yan Zhong, Xiao-Wei Zheng, Heng-Dong Li, Long-Fu Jiang

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 by The 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).

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
Processing time: 143 Days and 5.9 Hours

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.

Keywords: Subclavian vein obstruction; Cardiac resynchronization; Therapy; Pacemaker; Venoplasty; Radiological techniques; Case report

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.