Wire countertraction for sheath placement through stenotic and tortuous veins: The "body flossing" technique.

ABSTRACT:

Background

Innominate vein stenosis and venous tortuosity are common findings during cardiac implantable electronic device upgrades or replacements and present a challenge to the implanting physician. Various techniques have been described to facilitate lead placement, including serial dilation, balloon venoplasty, and percutaneous access medial to the stenosis, each with its own benefits and risks.

Objective

The purpose of this study was to assess the feasibility, safety, and efficacy of the wire countertraction ("body flossing") technique to facilitate sheath placement through tortuous and stenotic vessels.

Methods

Patients undergoing cardiac implantable electronic device procedures requiring the body flossing technique due to inability to place vascular sheaths ove

SUBMITTER: Arkles JS 

PROVIDER: S-EPMC8183965 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature