title: Automatic implantable cardiac defibrillator implantation may precipitate effort-induced thrombosis in young athletes: a case report and literature review.
abstract: Upper extremity deep vein thrombosis (DVT) is a common finding after implantation of an automatic implantable cardiac defrillator (AICD). We describe the case of a patient who developed a left upper extremity DVT 4.5 months after implantation of an AICD and was found to have a lead-induced stenosis with possible underlying Paget-Schroetter syndrome (PSS) in the midbrachiocephalic vein on venography. While his symptoms resolved after the combination of pharmacomechanical thrombolysis, angioplasty, and anticoagulation, his long-term management is complicated by the presence of both PSS and lead-induced stenosis. Herein, we discuss his presentation, treatment, and future management options.
authors.affiliation: Government Medical College, Amritsar, India; Department of Radiology, Weill Cornell Medical College.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Wadhawan
authors.affiliation: Department of Radiology, Weill Cornell Medical College; Ludwig-Maximilians-University Munich, Germany.
authors.forename: Fabian M
authors.initials: FM
authors.lastname: Laage Gaupp
authors.affiliation: Division of Interventional Radiology, Weill Cornell Medical College. Electronic address: aks9010@med.cornell.edu.
authors.forename: Akhilesh K
authors.initials: AK
authors.lastname: Sista
mesh_terms: D056352:Athletes; D001331:Automation; D003251:Constriction, Pathologic / Q000503:physiopathology; D047548:Defibrillators / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010690:Phlebography; D013350:Subclavian Vein / Q000473:pathology; D034941:Upper Extremity / Q000503:physiopathology; D056824:Upper Extremity Deep Vein Thrombosis / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D055815:Young Adult
keywords: Automatic implantable cardiac defibrillator; Deep vein thrombosis; Lead-induced stenosis; Paget–Schroetter syndrome