Pacemaker-induced superior vena cava syndrome with successful treatment by balloon venoplasty

Kastner, Robert J.; Fisher, Westby G.; Blacky, Albert R.; Bacon, Martin E.

doi:10.1016/s0002-9149(97)89222-3

Cited by 22 publications

(18 citation statements)

References 6 publications

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“…Within a few hours of lead implantation, fibrin is deposited on the surface of pacing leads. The fibrin may incorporate the lead into the intima of the vein especially at the points where the lead bends 8,10,13,15 . The likely areas for fibrosis are at vein junctions where lead tension and contact with the endothelium irritate the vein wall 13,15 .…”

Section: Discussionmentioning

confidence: 99%

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Placement of Transvenous Pacemaker and ICD Leads Across Total Chronic Occlusions

McCotter

Angle

Prudente

et al. 2005

Pacing Clinical Electrophis

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Section: Discussionmentioning

confidence: 99%

“…The fibrin may incorporate the lead into the intima of the vein especially at the points where the lead bends. 8,10,13,15 The likely areas for fibrosis are at vein junctions where lead tension and contact with the endothelium irritate the vein wall. 13,15 Contributing to the endothelium irritation is venous stasis.…”

Section: Discussionmentioning

confidence: 99%

Placement of Transvenous Pacemaker and ICD Leads Across Total Chronic Occlusions

McCotter

Angle

Prudente

et al. 2005

Pacing Clinical Electrophis

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“…Predisposing factors include multiple leads and pacemaker infections [25,26,27]. Sequels of venous thrombosis may be documented in 45-50% of patients with pacemaker insertions, but SVCS occurs only in 1 of 3000 to 1 of 40,000 of these patients.…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of stenoses in the superior vena cava syndrome caused by non-tumoral lesions

et al. 2003

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We report our experience in percutaneous treatment of non-tumoral superior vena cava syndrome (SVCS) between December 1998 and July 2001. During a period of 2.5 years, 9 patients (age range 27-84 years, mean age 50 years) were treated percutaneously for significant non-tumoral SVCS. Symptomatic SVCS were due to dialysis catheters (7), central line (1) and radiation therapy (1). In thrombotic occlusions and severe stenosis, a preliminary in situ thrombolysis was achieved before angioplasty. Patients were followed by echo-Doppler, computed tomography angiography (CTA), magnetic resonance angiography (MRA), or phlebography. Complete recanalization of the veins and immediate resolution of symptomatic SVCS were obtained in all patients, with no procedure-related complication. Thirteen stents were placed in 9 patients with a mean clinical follow-up of 9.1 months (range 2-23 months). One hundred percent patency at 6 months was obtained. Two patients recurred twice and were treated with new stent placement. At 12 months the patency was 67% and assisted patency was 100%. Stent placement in benign symptomatic SVCS is a safe and minimally invasive procedure, with no technical and clinical complications in our experience. It allowed immediate relief of symptoms, and in dialysed patients could provide continued use of hemodialysis access. Close clinical surveillance is mandatory to assess stent patency.

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“…Thus, the occluded or stenotic subclavian vein is encountered more frequently. With contrast to characterize the stenosis, various wires, and torque device designed to cross subtotal vascular obstructions and venoplasty to open the obstruction, the stenotic or occluded vein can be overcome without abandoning the existing site, tunneling, or lead extraction 7–12 …”

mentioning

confidence: 99%

Application of Interventional Procedures Adapted for Device Implantation: New Opportunities for Device Implanters

Worley

Ellenbogen

2007

Pacing Clinical Electrophis

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Pacemaker-induced superior vena cava syndrome with successful treatment by balloon venoplasty

Cited by 22 publications

References 6 publications

Placement of Transvenous Pacemaker and ICD Leads Across Total Chronic Occlusions

Placement of Transvenous Pacemaker and ICD Leads Across Total Chronic Occlusions

Endovascular treatment of stenoses in the superior vena cava syndrome caused by non-tumoral lesions

Application of Interventional Procedures Adapted for Device Implantation: New Opportunities for Device Implanters

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