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- Title
Percutaneous Treatment for Pacemaker- Associated Superior Vena Cava Syndrome.
- Authors
Chan, Albert W.; Bhatt, Deepak L.; Wilkoef, Bruce L.; Roefi, Marco; Mukherjee, Debabrata; Gray, Bruce H.; Baizer, Christopher T.; Yadav, Jay S.
- Abstract
Superior vena cava (SVC) obstruction is an uncommon but serious complication associated with permanent pacemaker implantation. The mechanical stress associated with pacemaker wires may lead to vessel wall inflammation, fibrosis, and thrombus formation, and ultimately to venous stenosis and occlusion. The surgical treatment of pacemaker related SVC syndrome requires thoracotomy and carries significant morbidity. This article illustrates the authors' initial experience with a ‘one-step’ percutaneous approach for this problem, consisting of percutaneous retrieval of a pacemaker system, followed by venous revascularization with angioplasty and stenting, and installation of a new pacemaker device.
- Subjects
VENA cava superior; CARDIAC pacemaker complications; SKIN diseases; CARDIAC pacemakers; IMPLANTED cardiovascular instruments; ARTIFICIAL implant complications; PLASTIC surgery
- Publication
Pacing & Clinical Electrophysiology, 2002, Vol 25, Issue 11, p1628
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1046/j.1460-9592.2002.01628.x