Routine venography should be performed before the device upgrade. Clinicians should not be unconcerned because of the lack of symptoms following lead-related venous occlusion. Knowledge of collateral anatomy is essential for future interventional plans. The venous pathway's return to the right atrium may entail risks to patient outcomes.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11272394PMC
http://dx.doi.org/10.1002/ccr3.9190DOI Listing

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