loading page

Retrograde Venography to Navigate an Occluded Subclavian Vein to Achieve CRT Upgrade via His Bundle Pacing
  • +4
  • Christopher Pavitt,
  • Vishal Luther,
  • Ahran Arnold,
  • Daniel Keene,
  • Zachary Whinnett,
  • David Lefroy,
  • Mark Tanner
Christopher Pavitt
Western Sussex Hospitals NHS Foundation Trust

Corresponding Author:christopher.pavitt@nhs.net

Author Profile
Vishal Luther
Imperial College London
Author Profile
Ahran Arnold
Imperial College
Author Profile
Daniel Keene
Imperial College London
Author Profile
Zachary Whinnett
Imperial College London
Author Profile
David Lefroy
Imperial college Healthcare
Author Profile
Mark Tanner
Imperial College Healthcare NHS Trust
Author Profile


We present a case of pacing-induced cardiomyopathy and an occluded left subclavian vein (SCV). The SCV occlusion was delineated in a retrograde manner from femoral venous access and bypassed through direct puncture of a collateral branch. Cardiac resynchronisation therapy was achieved through His bundle pacing, with subsequent normalisation of LV function.