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Venous Obstruction Due to Permanent Transvenous Pacemaker Electrodes: Treatment with Percutaneous Transluminal Balloon Venoplasty
Author(s) -
SPITTELL PETER C.,
VLIETSTRA RONALD E.,
HAYES DAVID L.,
HIGANO STUART T.
Publication year - 1990
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 - 10.1111/j.1540-8159.1990.tb02040.x
Subject(s) - medicine , percutaneous , transvenous pacing , permanent pacemaker , asymptomatic , stenosis , surgery , cardiology , venous thrombosis , balloon , vein , thrombosis
Transvenous placement of permanent pacemaker leads is currently the most common method for permanent cardiac pacing. Venous abnormalities, in particular venous stenosis or thrombosis (or both) frequently have been described, although most patients remain asymptomatic because of the development of an adequate venous collateral circulation. Venous obstruction often first becomes apparent during pacemaker lead revision, when difficulty passing the new pacing lead is encountered. In this report, we present two cases of venous stenosis and thrombosis due to permanent transvenous pacemaker electrodes and the use of percutaneous transluminal balloon venoplasty to relieve the venous obstruction.