Successful Pacemaker Lead Implantation in Severe Subclavian Vein Stenosis

心律調節器導線成功在嚴重下鎖骨靜脈狹窄置放

劉人福(Jen-Fu Liu) ； 張伯丞(Po-Chen Chang)

《童綜合醫學雜誌》 3卷2期 (2009/12) Pp. 98-102

https://doi.org/10.29838/TMJ.200912.0005

摘要

84歲男性罹患心房心室傳導缺失，須放置雙腔心律調節器，於第二條心房導線置放手術過程中發生困難，當時執行靜脈血管攝影，即時呈現左下鎖骨靜脈近端嚴重狹窄導致無法放入，因而執行氣球擴張術來擴張靜脈狹窄處，之後順利放置心房導線完成雙腔心律調節器置放，目前對於心律調節器導線於下鎖骨靜脈狹窄時處置仍有爭議，立即的氣球擴張術是可以被接受的方法。

關鍵字

下鎖骨靜脈狹窄 ； 心律調節器導線置放

並列摘要

Herein, we report a case of an 84-year-old man with atrioventricular (AV) conduction defect, needed for dual-chamber pacemaker (DDDR) implantation. During the procedure, there was difficulty encountered in advancing the pacemaker lead. Venography showed severe stenosis over the proximal part of the left subclavian vein. Balloon angioplasty was done which subsequently lead to successful pacemaker implantation. Adequate management for the dilemma of the lead placement via a stenotic subclavian vein is still controversial. However, we find the balloon angioplasty can be an acceptable alternative method in this setting.

並列關鍵字

subclavian vein stenosis ； pacemaker implantation