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Figure 3: Venograms showing complete occlusion of the left subclavian (a) and proximal right subclavian (b) vein in a patient with an existing ICD lead that was fractured. (c) A guide wire (platinum plus 018, Boston scientific) was threaded from the right subclavian vein into the IVC through the stenotic site. (d) A dilator and sheath were then cannulated over the guide wire and used to pass two additional leads across this stenotic site

Figure 3: Venograms showing complete occlusion of the left subclavian (a) and proximal right subclavian (b) vein in a patient with an existing ICD lead that was fractured. (c) A guide wire (platinum plus 018, Boston scientific) was threaded from the right subclavian vein into the IVC through the stenotic site. (d) A dilator and sheath were then cannulated over the guide wire and used to pass two additional leads across this stenotic site