Sole transfemoral venous access for cardiac pacemaker implantation

A 46-year-old man presented to the emergency department, with dizziness and syncopes. ECG revealed a second-degree Mobitz type 2 atrioventricular-block (figure 1A). Owing to a history of thrombosis, phlebography was performed, which showed thrombosis of subclavian veins and the left brachiocephalic vein (figure 1B). Furthermore, the patient …