Vasoconstrictive responses of the cephalic vein during first-time cardiac implantable electronic device placement

Steckiewicz, Roman; Świętoń, Elżbieta Barbara; Bogdańska, Magdalena; Stolarz, Przemysław

doi:10.5603/fm.a2018.0001

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…Most of the studies addressing problems in cardiac lead advancement during CIED implantation procedures have focused on thrombosis-related venous occlusion [20,23]. Decidedly less often, the cause of problems has been identified as a segmental vasoconstrictive response of the CV, AV, or SV [24,25], and other causes of a narrowed LBCV lumen have only been reported sporadically [6,13].…”

Section: Discussionmentioning

confidence: 99%

Lokalne zaburzenie drożności lewej żyły ramienno-głowowej podczas cyklu oddechowego przez potencjalny czynnik inicjacji zmian pozakrzepowych po zabiegach implantacji wszczepialnego urządzenia do elektroterapii serca czy wprowadzeniu cewnika do żyły centralnej

et al. 2021

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This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially. Localized left brachiocephalic vein obstruction during the respiration cycle as a potential trigger of thrombotic complications of cardiac implantable electronic device and central venous catheter placement proceduresLokalne zaburzenie drożności lewej żyły ramienno-głowowej podczas cyklu oddechowego przez potencjalny czynnik inicjacji zmian pozakrzepowych po zabiegach implantacji wszczepialnego urządzenia do elektroterapii serca czy wprowadzeniu cewnika do żyły centralnej

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Section: Discussionmentioning

confidence: 99%

Lokalne zaburzenie drożności lewej żyły ramienno-głowowej podczas cyklu oddechowego przez potencjalny czynnik inicjacji zmian pozakrzepowych po zabiegach implantacji wszczepialnego urządzenia do elektroterapii serca czy wprowadzeniu cewnika do żyły centralnej

et al. 2021

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Axillary and subclavian venous spasm during pacemaker implantation – A case report and literature review

Venet,

Vergier,

Cenac

et al. 2024

Clinical Case Reports

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Key Clinical MessageVenous spasm is an important reason for complicated or failed implantations of cardiac implantable electronic devices. Prevention or risk reduction of venous spasm during cardiac implantable electronic device implantation may be achieved by ultrasound or fluoroscopic imaging prior to puncture, cephalic vein cut‐down, sufficient pre‐ and perioperative hydration, nitroglycerin injection and effective sedation, and analgesia.AbstractThis case report with literature review focuses on venous spasm as a potential cause for complicated implantations of cardiac implantable electronic devices. The case report is clinically relevant as it describes a progressive spasm affecting the axillary and the subclavian vein. A 66‐year‐old female complained of symptomatic atrial fibrillation (AF) and atypical atrial flutter despite interventional and medical treatment. As an ultimate treatment, she was scheduled for pacemaker implantation and atrioventricular node ablation. Several puncture attempts of the axillary vein failed. Despite venous blood aspiration, no guidewires could be advanced into the axillary vein. We performed a first venogram revealing significant spasm of the axillary vein. Another failed venous puncture occurred after change of access site to the subclavian vein. A second venogram displayed progression of the spasm, now affecting both the axillary and the subclavian veins. Normal saline perfusion was administered as well as intravenous isosorbide. Unfortunately, a repeated venogram after 15 min waiting time showed persistence of the spasm, still affecting both veins. The procedure was discontinued as the patient became uncomfortable. Venous spasm is an important reason for complicated or failed implantations of cardiac implantable electronic devices. Commonly used medical prevention and treatment are intravenous fluids and nitroglycerin. Prevention or risk reduction of venous spasm during cardiac implantable electronic device implantation may be achieved by ultrasound or fluoroscopic imaging prior to puncture, cephalic vein cut‐down, sufficient pre‐ and perioperative hydration, nitroglycerin injection and effective sedation and analgesia.

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Cephalic Vein Cut Down for Total Implantable Venous Access Ports: A Retrospective Review of a Single Institution Series

Vélez¹

2023

EJVES Vascular Forum

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Vasoconstrictive responses of the cephalic vein during first-time cardiac implantable electronic device placement

Abstract: Background. During cardiac implantable electronic device (CIED) implantation

Cited by 4 publications

References 9 publications

Lokalne zaburzenie drożności lewej żyły ramienno-głowowej podczas cyklu oddechowego przez potencjalny czynnik inicjacji zmian pozakrzepowych po zabiegach implantacji wszczepialnego urządzenia do elektroterapii serca czy wprowadzeniu cewnika do żyły centralnej

Lokalne zaburzenie drożności lewej żyły ramienno-głowowej podczas cyklu oddechowego przez potencjalny czynnik inicjacji zmian pozakrzepowych po zabiegach implantacji wszczepialnego urządzenia do elektroterapii serca czy wprowadzeniu cewnika do żyły centralnej

Axillary and subclavian venous spasm during pacemaker implantation – A case report and literature review

Cephalic Vein Cut Down for Total Implantable Venous Access Ports: A Retrospective Review of a Single Institution Series

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