Hybrid Approach for the Treatment of Superior Vena Cava Syndrome Induced by Pacemaker
Pacemaker-induced superior vena cava syndrome (SVCS) is a rare but incapacitating adverse event that can occur years after implantation. Inasmuch as it is a rare disease, there is no consensus about its treatment. The most widely used option is balloon angioplasty and venous stent implantation, with...
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| Veröffentlicht in: | The Annals of thoracic surgery 2017-08, Vol.104 (2), p.e131-e132 |
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| container_title | The Annals of thoracic surgery |
| container_volume | 104 |
| creator | Maseda Uriza, Ramón Jurado-Román, Alfonso Jimenez Díaz, Javier Piqueras Flores, Jesús Higuera Sobrino, Felipe Oliva De Anquín, Enrique |
| description | Pacemaker-induced superior vena cava syndrome (SVCS) is a rare but incapacitating adverse event that can occur years after implantation. Inasmuch as it is a rare disease, there is no consensus about its treatment. The most widely used option is balloon angioplasty and venous stent implantation, with preservation of the lead or previous extraction and subsequent reimplantation after the procedure, which is associated with new episodes of thrombosis. The epicardial implantation reduces the risk of thrombosis. We report a case of pacemaker-induced SVCS for which we used a hybrid approach for epicardial lead implantation and electrode extraction, balloon angioplasty, and stent implantation. |
| doi_str_mv | 10.1016/j.athoracsur.2017.02.063 |
| format | Article |
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Inasmuch as it is a rare disease, there is no consensus about its treatment. The most widely used option is balloon angioplasty and venous stent implantation, with preservation of the lead or previous extraction and subsequent reimplantation after the procedure, which is associated with new episodes of thrombosis. The epicardial implantation reduces the risk of thrombosis. We report a case of pacemaker-induced SVCS for which we used a hybrid approach for epicardial lead implantation and electrode extraction, balloon angioplasty, and stent implantation.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2017.02.063</identifier><identifier>PMID: 28734433</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aged ; Atrioventricular Block - therapy ; Catheterization, Peripheral - methods ; Device Removal - methods ; Femoral Vein ; Humans ; Male ; Pacemaker, Artificial - adverse effects ; Phlebography ; Superior Vena Cava Syndrome - diagnosis ; Superior Vena Cava Syndrome - etiology ; Superior Vena Cava Syndrome - surgery ; Thoracotomy - methods ; Tomography, X-Ray Computed ; Ultrasonography, Doppler ; Vena Cava, Superior - diagnostic imaging</subject><ispartof>The Annals of thoracic surgery, 2017-08, Vol.104 (2), p.e131-e132</ispartof><rights>2017 The Society of Thoracic Surgeons</rights><rights>Copyright © 2017 The Society of Thoracic Surgeons. 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| ispartof | The Annals of thoracic surgery, 2017-08, Vol.104 (2), p.e131-e132 |
| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aged Atrioventricular Block - therapy Catheterization, Peripheral - methods Device Removal - methods Femoral Vein Humans Male Pacemaker, Artificial - adverse effects Phlebography Superior Vena Cava Syndrome - diagnosis Superior Vena Cava Syndrome - etiology Superior Vena Cava Syndrome - surgery Thoracotomy - methods Tomography, X-Ray Computed Ultrasonography, Doppler Vena Cava, Superior - diagnostic imaging |
| title | Hybrid Approach for the Treatment of Superior Vena Cava Syndrome Induced by Pacemaker |
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