Ali Duygu1, Uğur Küçük2, Emine Gazi2, Halil Fatih Aşgün3

1Department of Cardiology, Bursa Yenişehir State Hospital, Bursa, Türkiye
2Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Türkiye
3Cardiovascular Surgery, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Türkiye

Keywords: Internal jugular vein, permanent pacemaker, subclavian vein occlusion.


Bilateral subclavian vein (SCV) stenosis is a common finding in patients requiring permanent pacemaker (PPM). The prevalence of bilateral SCV stenosis without catheter intervention is unknown. Alternative venous ways or interventional treatment may be necessary when the conventional method of PPM lead implantation via axillary, subclavian, or cephalic vein is not feasible. Hereby, we presented a 51-year-old female patient and an 81-year-old male patient with primary complaints of dizziness and weakness and were diagnosed with severe bilateral SCV stenosis. One of whom had chronic kidney disease. Different methods for PPM implantation were described in two cases of bilateral SCV stenosis.

Cite this article as: Duygu A, Küçük U, Gazi E, Aşgün HF. Different vascular access approaches for permanent pacemaker in patients with bilateral subclavian vein stenosis: Reports of two cases. D J Med Sci 2023;9(3):117-122. doi: 10.5606/ fng.btd.2023.131.

Author Contributions

Idea/concept, references and fundings: E.G., H.F.A.; Design, data collection and/ or processing, analysis and/or interpretation, literature review: A.D., U.K.; Control/supervision: U.K., E.G.; Writing the article: A.D.; Critical review: E.G., U.K.; Materials: A.D., E.G., H.F.A.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/ or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.