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.
Chan
Albert W
AW
Section of Interventional Cardiology, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Bhatt
Deepak L
DL
Wilkoff
Bruce L
BL
Roffi
Marco
M
Mukherjee
Dababrata
D
Gray
Bruce H
BH
Baizer
Christopher T
CT
Yadav
Jay S
JS
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013479:Superior Vena Cava Syndrome / Q000209:etiology* / Q000628:therapy*