case_images: PMC3878586_01
case_images: Superior Vena cava and Subclavian chronic total occlusions
case_images: ipej140037-01.jpg
case_images: PMC3878586_01_ipej140037-01.jpg
case_images: F1
case_images: Repeated cannulation of his central venous system had resulted in complete occlusion of the superior vena cava (SVC) and both subclavian veins (Figure 1).
case_images: SVC balloon angioplasty
case_images: ipej140037-02.jpg
case_images: PMC3878586_01_ipej140037-02.jpg
case_images: F2
case_images: The right subclavian vein was punctured under ultrasound guidance, wired with difficulty and eventually dilated up to 7mm (Figure 2).
case_images: Successful recanalisation of the SVC and Subclavian veins
case_images: ipej140037-03.jpg
case_images: PMC3878586_01_ipej140037-03.jpg
case_images: F3
case_images: Recanalization of the SVC and right subclavian was achieved (Figure 3).
case_images: Final position of RV, LV and RA pacing leads
case_images: ipej140037-04.jpg
case_images: PMC3878586_01_ipej140037-04.jpg
case_images: F4
case_images: The final lead positions were satisfactory (Figure 4).
case_images: PMC3878586_02