During biventricular pacemaker implantation, multiple punctures of the subclavian vein were performed and venous occlusion was apparent during the procedure, which in one case was stopped before lead insertion and in the other patient new access has to be forced through the occlusion by removing one of the already implanted leads. For implanting physicians, it is important to know that acute venous occlusion may occur during lead implantation.

Acute venous thrombosis, Biventricular pacing, Pacemaker lead, Subclavian puncture
dx.doi.org/10.1111/j.1540-8159.2006.00509.x, hdl.handle.net/1765/66713
Pacing and Clinical Electrophysiology
Department of Cardiology

Breuls, N, & Res, J. (2006). Acute subclavian or axillary vein occlusion during biventricular pacemaker implantation. Pacing and Clinical Electrophysiology, 29(10), 1170–1173. doi:10.1111/j.1540-8159.2006.00509.x