Suitability of the Left Internal Jugular Vein for CRT-D placement in the
setting of Extensive Venous Occlusion: Case Report and Review of the
Literature
Abstract
Placement of coronary sinus (CS) leads is predominantly accomplished via
the left cephalic-axillary-subclavian (CAS) venous system. However, vein
stenosis or occlusion from long-term chronic hemodialysis in patients
with end-stage renal failure can pose a challenge. Cannulation of the CS
via the left Internal jugular vein is technically difficult but often
feasible. We report a case in which a patient with ESRD had extensive
left venous system occlusion from prior in dwelling hemodialysis
catheters, and an AV fistula contralaterally, who underwent
biventricular- implantable cardioverter defibrillator (BiV-ICD)
placement with lead insertion through the left internal jugular vein
(IJV).