[The femoral vein route: an exceptional alternative for the implantation of permanent pacemakers].
A case of thrombosis in the superior vena cava after two permanent pacemaker implantations is described. Ten years ago the patient had a permanent pacemaker implanted because of disturbances in his cardiac rhythm. Five months later he was readmitted with pacemaker malfunction due to failure of the electrode and a new lead was introduced. In 1989 the generator presented "end of life" and the depleted battery was changed. In February, 1993 he presented a new pacemaker malfunction and thrombosis in the superior vena cava. We suggest that in similar cases the iliac vein approach should be performed and short-term anticoagulant therapy should be considered.
Villalba
S
S
Seccione de Cirugía Mínimamente Invasiva, Hospital General Universitario de Valencia.
Roda
J
J
Todolí
J
J
Zaragoza
C
C
Ridocci
F
F
Vilar
J V
JV
D001145:Arrhythmias, Cardiac / Q000628:therapy; D004868:Equipment Failure; D005268:Femoral Vein / Q000000981:diagnostic imaging; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D011859:Radiography; D012008:Recurrence; D013350:Subclavian Vein; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging
La vía venosa femoral: una alternativa de excepción para el implante de marcapasos definitivos.