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Percutaneous Treatment for Pacemaker‐Associated Superior Vena Cava Syndrome
Author(s) -
CHAN ALBERT W.,
BHATT DEEPAK L.,
WILKOFF BRUCE L.,
ROFFI MARCO,
MUKHERJEE DEBABRATA,
GRAY BRUCE H.,
BAIZER CHRISTOPHER T.,
YADAV JAY S.
Publication year - 2002
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1046/j.1460-9592.2002.01628.x
Subject(s) - medicine , percutaneous , superior vena cava , superior vena cava syndrome , thrombus , surgery , complication , thoracotomy , stenosis , cardiology , revascularization , radiology , myocardial infarction
CHAN, A.W., et al. :Percutaneous Treatment for Pacemaker‐Associated Superior Vena Cava Syndrome. 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.