Surgical Relief of Thrombotic Superior Vena Cava Obstruction Caused by Endocardial Pacing Catheter

Blair, Timothy P.; Seibel, John A.; Goodreau, James J.; Groves, Robert M.; Ashworth, Halbert E.; Baker, William P.

doi:10.1016/s0003-4975(10)60796-5

Cited by 21 publications

(4 citation statements)

References 13 publications

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“…Based on the specified criteria, we identified 104 qualifying patients from 74 different publications, published from 1970 through 2009 (see Table S1) 1,2 , 4–76 . Of the 104 patients (55 men, 39 women, 10 unspecified), the mean age (±standard deviation) was 59 (±14) years old.…”

Section: Resultsmentioning

confidence: 99%

Managing Superior Vena Cava Syndrome as a Complication of Pacemaker Implantation: A Pooled Analysis of Clinical Practice

Riley

Petersen

Ferguson

et al. 2010

Pacing and Clinical Electrophysiology

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Section: Resultsmentioning

confidence: 99%

Managing Superior Vena Cava Syndrome as a Complication of Pacemaker Implantation: A Pooled Analysis of Clinical Practice

Riley

Petersen

Ferguson

et al. 2010

Pacing and Clinical Electrophysiology

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“…The reported risk factors for thrombosis leading to stenosis include pacing mode, implantation site, multiple leads, hormone therapy, prior history of venous thrombosis, temporary pre-operative pacemaker use, and infections. [9][10][11]17,20,21) Some reports have suggested an increased risk in venous thrombosis following implantation of a 2-lead DDD pacemaker, 20,22) whereas other reports have shown no correlation of thrombosis with the number of leads used. 23,24) Therefore, the number of leads is not considered to have a direct effect.…”

Section: Discussionmentioning

confidence: 99%

Short-term Venous Patency after Implantation of Permanent Pacemakers or Implantable Cardioverter Defibrillators

Nakae¹,

Enjoji²,

Noro³

et al. 2010

J Arrhythmia

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There is little information on venous patency after pacing leads are inserted in veins during pacemaker or implantable cardioverter defibrillator (ICD) implantation. Herein we present a report on venous patency during the immediate postoperative period after permanent pacemaker or ICD implantation.Subjects and Methods: Twenty-five patients underwent a permanent pacemaker or ICD implantation by venous puncture method, and venography was performed 1 week later. We assessed the pacemaker-implantation side, approach used, implanted device, number of implanted leads, and clinical symptoms.Results: Narrowing of the vein was found in 14 patients (56%), including 7 patients (28%) with occlusion. Stenosis and occlusion were seen more in patients with left-sided implantation than those with right-sided implantation (71% vs. 25%, P < 0:05). ICD implantation was more frequently associated with venous stenosis or occlusion than pacemaker implantation (65% vs. 37.5%, P < 0:05). The approach used and the number of leads implanted did not correlate with venous stenosis or occlusion. Six of the 7 patients who developed complete occlusion showed clinical symptoms.Conclusion: Thrombus formation after pacemaker implantation can occur in the acute stage within 1 week. The incidence of venous stenosis or thrombus formation was higher with leftsided implantation and ICD. (J Arrhythmia 2010; 26: 30-37)

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“…Symptomatic stenosis or occlusion of the superior vena cava (SVC) is a rare but well‐recognized complication of transvenous permanent‐type PM implantation 4,5 . The presence of more than one lead has been associated with a higher possibility of SVC obstruction 6 . Retention of several leads or previous lead infection has also been implicated as potential etiologic factors 7 .…”

Section: Introductionmentioning

confidence: 99%

Contralateral Replacement of Pacemaker and Leads Following Laser Sheath Extraction and Concomitant Stenting for Superior Vena Cava Syndrome

Bakır¹,

Meir²,

Degrieck³

et al. 2005

Pacing Clinical Electrophis

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We present the case of a 61-year-old man with a history of pacemaker implantation 15 years ago. The patient was admitted with chronic swelling of the right hemithorax and inflammation of the old incision scar after the replacement of pacemaker generator 6 years ago. The patient also presented symptoms and clinical signs of superior vena cava syndrome. Computed tomography of the thorax showed obstruction of the superior vena cava. The surgical procedure consisted of extraction of infected pacemaker system with excimer laser technique followed by dilatation and stenting of the SVC and finally implantation of a new permanent pacemaker system on the left side.

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Surgical Relief of Thrombotic Superior Vena Cava Obstruction Caused by Endocardial Pacing Catheter

Cited by 21 publications

References 13 publications

Managing Superior Vena Cava Syndrome as a Complication of Pacemaker Implantation: A Pooled Analysis of Clinical Practice

Managing Superior Vena Cava Syndrome as a Complication of Pacemaker Implantation: A Pooled Analysis of Clinical Practice

Short-term Venous Patency after Implantation of Permanent Pacemakers or Implantable Cardioverter Defibrillators

Contralateral Replacement of Pacemaker and Leads Following Laser Sheath Extraction and Concomitant Stenting for Superior Vena Cava Syndrome

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