Retrograde Venography to Navigate an Occluded Subclavian Vein to Achieve CRT Upgrade via His Bundle Pacing

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Abstract

We present a case of pacing-induced cardiomyopathy and an occluded left subclavian vein (SCV). The SCV occlusion was delineated in a retrograde manner from femoral venous access and bypassed through direct puncture of a collateral branch. Cardiac resynchronisation therapy was achieved through His bundle pacing, with subsequent normalisation of LV function.

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europepmc
last seen: 2026-05-19T01:45:01.086888+00:00