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October 2024 Br J Cardiol 2024;31(4) doi:10.5837/bjc.2024.044 Online First

Subclavian venoplasty for device implantation in a district general hospital: a case series

Muhammad Usman Shah, Kelvin Lee, Hira Yousuf, David Morgan, Juan Fernandez

Abstract

Introduction Subclavian venoplasty (SV) was developed to re-establish vessel patency following complications from indwelling dialysis catheters.1 Recently, it has been adopted to aid device re-implantation or upgrade, which require the introduction of additional pacing leads; this avoids the need for lead extraction or contralateral tunnelling procedures, both of which are associated with their own technical limitations and procedural complications.2 In suitable patients, SV offers a safer alternative, preserving contralateral access for future use.2 However, these are mostly performed by interventional radiologists rather than cardiologists

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