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Rocket-shape crossing technique: a combination of lead extraction and modified venoplasty for device upgrade with venous occlusion
  • +3
  • Junji Morita,
  • Yusuke Kondo,
  • Takuya Haraguchi,
  • Michio Nagashima,
  • Takayuki Kitai,
  • Tsutomu Fujita
Junji Morita
Department of Cardiovascular Medicine Sapporo Heart Center Sapporo Cardiovascular Clinic Sapporo Japan

Corresponding Author:mjunji1982@yahoo.co.jp

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Yusuke Kondo
Department of Cardiovascular Medicine Chiba University Graduate School of Medicine Japan
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Takuya Haraguchi
Department of Cardiovascular Medicine Sapporo Heart Center Sapporo Cardiovascular Clinic Sapporo Japan
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Michio Nagashima
Department of Cardiology Kokura Memorial Hospital Japan
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Takayuki Kitai
Department of Cardiovascular Medicine Sapporo Heart Center Sapporo Cardiovascular Clinic Sapporo Japan
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Tsutomu Fujita
Department of Cardiovascular Medicine Sapporo Heart Center Sapporo Cardiovascular Clinic Sapporo Japan
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Abstract

Introduction A 54-year-old man with superior vena cava occlusion was referred to our institution for an upgrade to cardiac resynchronization therapy defibrillator. Methods and results Right ventricular lead extraction with modified venoplasty, rocket-shape crossing technique (RCT), was performed. In RCT, the integration of the inflated balloon, halfway inside the laser sheath, and the laser sheath are advanced through the occlusion like a “rocket-shape crossing”. Conclusion Modified venoplasty can be useful during device upgrades in patients with venous occlusion.