Central vein stenosis is a well-documented consequence of cardiovascular implantable electronic devices. In hemodialysis patients, where preserving venous real estate is crucial, use of subcutaneous implantable cardioverter-defibrillators (S-ICDs) remains controversial. We present a novel approach for implanting an S-ICD in a patient with endstage renal disease, central venous stenosis, and pre...

We report on a patient who was referred for port implantation with a two-chamber pacemaker aggregate on the right and total occlusion of the central veins on the left side. Venous access for port implantation was performed via left side puncture of the horizontal segment of the anterior jugular vein system (AJVS) and insertion of the port catheter using a crossover technique from the left to th...