Percutaneous Management of Non Malignant Superior Vena Cava Syndrome Using IN.PACT Paclitaxel Coated Balloon

Abstract

Superior Vena Cava (SVC) syndrome is an uncommon but known complication of Implantable Cardioverter Defibrillator (ICD) and pacemaker lead placement. In general 0.2 to 3% of all implants are associated with symptomatic SVC stenosis. Stent placement is a viable option for benign SVC syndrome in the absence of indwelling pacing leads. The risk of perforation and lead fracture increases when large numbers of leads are present chronically. We describe here a case of patient with SVC syndrome secondary to chronic ICD and pacemaker lead placement and a novel use of IN.PACT tm paclitaxel drug coated balloon to treat the SVC obstruction with a favorable clinical result.