Management of Upper Extremity Central Venous Obstruction Using Interventional Radiology

Kalman, Peter G.; Lindsay, Thomas F.; Clarke, Kim; Sniderman, Kenneth W.; Vanderburgh, Leslie

doi:10.1007/s100169900141

Cited by 43 publications

(17 citation statements)

References 16 publications

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“…9 Angioplasty of an upper extremity central vein stenosis appears to have a somewhat better short-to medium-term patency. 10 Primary stenting does not appear to offer any benefit, compared to balloon angioplasty alone, and is associated with more expense. 10 In the patient described in this report, stenting was required because of an unsatisfactory result from angioplasty alone.…”

Section: Discussionmentioning

confidence: 97%

Axillary Vein Thrombosis Secondary to Congenital Stricture in a Left-Sided Superior Vena Cava

Palerme

Chan

Hsiang

2000

Annals of Vascular Surgery

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Section: Discussionmentioning

confidence: 97%

Axillary Vein Thrombosis Secondary to Congenital Stricture in a Left-Sided Superior Vena Cava

Palerme

Chan

Hsiang

2000

Annals of Vascular Surgery

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“…These causes include arterio-venous shunt, central lines and cardiac pacing wires. Venous angioplasty and stenting in these patients are often repeated, with cumulative patency approaching 80% at 2 years [15,16]. …”

Section: Discussionmentioning

confidence: 99%

A case of pacing lead induced clinical superior vena cava syndrome: a case report

Singh

Talab

2009

Cases J

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IntroductionTransvenous pacing is a relatively safe treatment with a low complication rate, but serious thromboembolic complications have been reported to occur in 0.6% to 3.5% of cases. Superior vena cava obstruction syndrome is generally an uncommon but serious complication occurring in <0.1% of patients. However, when it occurs it carries with it significant morbidity and mortality.Case presentationA 51-year-old lady with long history of DDD permanent pacemaker presented following a mechanical fall. She had no obvious injuries, and was hemodynamically stable. General examination revealed features suggestive of Superior vena caval obstruction which was later confirmed by imaging. She was treated with long term oral anticoagulation with good clinical improvement.ConclusionSuperior vena cava obstruction in patients with transvenous pacing leads, although rare, is a well recognized complication. With growing elderly population and increasing number of procedures performed, more and more people with permanent pacemaker are likely to be encountered in clinical practice. One should carefully look for thromboembolic complications during follow-up in patients with transvenous pacemaker leads, as it has implications for future management and carries significant morbidity and mortality.

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“…Rarely, such occlusion may be improved using percutaneous transluminal angioplasty or surgical bypass. [7][8][9] Case 1 exhibited progressive swelling of the right hand 16 months after the procedure. Conservative treatment was given for the management.…”

Section: Discussionmentioning

confidence: 99%

Axillary Artery to Contralateral Axillary Vein Graft Fistula in Chronic Hemodialysis Patients

et al. 2003

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Management of Upper Extremity Central Venous Obstruction Using Interventional Radiology

Cited by 43 publications

References 16 publications

Axillary Vein Thrombosis Secondary to Congenital Stricture in a Left-Sided Superior Vena Cava

Axillary Vein Thrombosis Secondary to Congenital Stricture in a Left-Sided Superior Vena Cava

A case of pacing lead induced clinical superior vena cava syndrome: a case report

Axillary Artery to Contralateral Axillary Vein Graft Fistula in Chronic Hemodialysis Patients

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