Device implantation complicated by a retrosternal goiter
Central venous obstruction in the cardiac implantable electronic devices (CIED) population is commonly due to thrombosis and fibrosis secondary to the passage of pre‐existing leads. However, vein occlusion before CIED implantation is uncommon, and one cause is retrosternal goiters. We report a case...
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| Veröffentlicht in: | Pacing and clinical electrophysiology 2024-05, Vol.47 (5), p.673-675 |
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| container_title | Pacing and clinical electrophysiology |
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| creator | Elshafie, Sally Tariq, Abu Taher Leon, Francisco Leyva |
| description | Central venous obstruction in the cardiac implantable electronic devices (CIED) population is commonly due to thrombosis and fibrosis secondary to the passage of pre‐existing leads. However, vein occlusion before CIED implantation is uncommon, and one cause is retrosternal goiters. We report a case where the failure of the initial implantation of a primary CIED led to an unusual implantation route without goiter excision. The patient had an indication for cardiac resynchronization therapy (CRT) given his left ventricular (LV) function was impaired and had second‐degree heart block Mobitz Type II; however, he had occluded bilateral subclavian veins due to a sizeable retrosternal goiter. This obstruction led to the implantation of a single lead pacemaker via the right femoral vein after multiple failed attempts at CRT, dual chamber pacemaker and left bundle branch area pacing (LBBaP). |
| doi_str_mv | 10.1111/pace.14806 |
| format | Article |
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However, vein occlusion before CIED implantation is uncommon, and one cause is retrosternal goiters. We report a case where the failure of the initial implantation of a primary CIED led to an unusual implantation route without goiter excision. The patient had an indication for cardiac resynchronization therapy (CRT) given his left ventricular (LV) function was impaired and had second‐degree heart block Mobitz Type II; however, he had occluded bilateral subclavian veins due to a sizeable retrosternal goiter. This obstruction led to the implantation of a single lead pacemaker via the right femoral vein after multiple failed attempts at CRT, dual chamber pacemaker and left bundle branch area pacing (LBBaP).</description><identifier>ISSN: 0147-8389</identifier><identifier>ISSN: 1540-8159</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/pace.14806</identifier><identifier>PMID: 37594289</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; cardiac implantable electronic devices ; Case reports ; central venous obstruction ; Electronic equipment ; femoral vein access ; Fibrosis ; Goiter ; Goiter, Substernal - complications ; Goiter, Substernal - surgery ; Heart ; Humans ; Male ; Pacemaker, Artificial ; Pacemakers ; Prosthesis Implantation - methods ; retrosternal goiter ; Subclavian Vein - diagnostic imaging ; Subclavian Vein - surgery ; Thrombosis</subject><ispartof>Pacing and clinical electrophysiology, 2024-05, Vol.47 (5), p.673-675</ispartof><rights>2023 Wiley Periodicals LLC.</rights><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3166-b838b8a26f89d7a88ca522a9264b7daec66b47c059b01ca3b779f1c0d63a1a663</cites><orcidid>0000-0001-8387-0092</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpace.14806$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpace.14806$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37594289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elshafie, Sally</creatorcontrib><creatorcontrib>Tariq, Abu Taher</creatorcontrib><creatorcontrib>Leon, Francisco Leyva</creatorcontrib><title>Device implantation complicated by a retrosternal goiter</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Central venous obstruction in the cardiac implantable electronic devices (CIED) population is commonly due to thrombosis and fibrosis secondary to the passage of pre‐existing leads. However, vein occlusion before CIED implantation is uncommon, and one cause is retrosternal goiters. We report a case where the failure of the initial implantation of a primary CIED led to an unusual implantation route without goiter excision. The patient had an indication for cardiac resynchronization therapy (CRT) given his left ventricular (LV) function was impaired and had second‐degree heart block Mobitz Type II; however, he had occluded bilateral subclavian veins due to a sizeable retrosternal goiter. This obstruction led to the implantation of a single lead pacemaker via the right femoral vein after multiple failed attempts at CRT, dual chamber pacemaker and left bundle branch area pacing (LBBaP).</description><subject>Aged</subject><subject>cardiac implantable electronic devices</subject><subject>Case reports</subject><subject>central venous obstruction</subject><subject>Electronic equipment</subject><subject>femoral vein access</subject><subject>Fibrosis</subject><subject>Goiter</subject><subject>Goiter, Substernal - complications</subject><subject>Goiter, Substernal - surgery</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Pacemaker, Artificial</subject><subject>Pacemakers</subject><subject>Prosthesis Implantation - methods</subject><subject>retrosternal goiter</subject><subject>Subclavian Vein - diagnostic imaging</subject><subject>Subclavian Vein - surgery</subject><subject>Thrombosis</subject><issn>0147-8389</issn><issn>1540-8159</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRbK1e_AES8CJC6m6yn8dS6wcU9KDnZXazkS1JU7OJ0n_v1lQPHpzLzMDDO--8CJ0TPCWxbjZg3ZRQifkBGhNGcSoJU4dojAkVqcylGqGTEFYYY44pO0ajXDBFM6nGSN66D29d4utNBesOOt-sE9vEzVvoXJGYbQJJ67q2CZ1r11Alb42P0yk6KqEK7mzfJ-j1bvEyf0iXT_eP89kytTnhPDXxvJGQ8VKqQoCUFliWgco4NaIAZzk3VFjMlMHEQm6EUCWxuOA5EOA8n6CrQXfTNu-9C52ufbCuim5d0wedSZYryoUQEb38g66afmc56BxTKmTGJInU9UDZ-FJoXak3ra-h3WqC9S5PvctTf-cZ4Yu9ZG9qV_yiPwFGgAzAp6_c9h8p_TybLwbRLwrDfrs</recordid><startdate>202405</startdate><enddate>202405</enddate><creator>Elshafie, Sally</creator><creator>Tariq, Abu Taher</creator><creator>Leon, Francisco Leyva</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8387-0092</orcidid></search><sort><creationdate>202405</creationdate><title>Device implantation complicated by a retrosternal goiter</title><author>Elshafie, Sally ; Tariq, Abu Taher ; Leon, Francisco Leyva</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3166-b838b8a26f89d7a88ca522a9264b7daec66b47c059b01ca3b779f1c0d63a1a663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>cardiac implantable electronic devices</topic><topic>Case reports</topic><topic>central venous obstruction</topic><topic>Electronic equipment</topic><topic>femoral vein access</topic><topic>Fibrosis</topic><topic>Goiter</topic><topic>Goiter, Substernal - complications</topic><topic>Goiter, Substernal - surgery</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Pacemaker, Artificial</topic><topic>Pacemakers</topic><topic>Prosthesis Implantation - methods</topic><topic>retrosternal goiter</topic><topic>Subclavian Vein - diagnostic imaging</topic><topic>Subclavian Vein - surgery</topic><topic>Thrombosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elshafie, Sally</creatorcontrib><creatorcontrib>Tariq, Abu Taher</creatorcontrib><creatorcontrib>Leon, Francisco Leyva</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elshafie, Sally</au><au>Tariq, Abu Taher</au><au>Leon, Francisco Leyva</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Device implantation complicated by a retrosternal goiter</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2024-05</date><risdate>2024</risdate><volume>47</volume><issue>5</issue><spage>673</spage><epage>675</epage><pages>673-675</pages><issn>0147-8389</issn><issn>1540-8159</issn><eissn>1540-8159</eissn><abstract>Central venous obstruction in the cardiac implantable electronic devices (CIED) population is commonly due to thrombosis and fibrosis secondary to the passage of pre‐existing leads. However, vein occlusion before CIED implantation is uncommon, and one cause is retrosternal goiters. We report a case where the failure of the initial implantation of a primary CIED led to an unusual implantation route without goiter excision. The patient had an indication for cardiac resynchronization therapy (CRT) given his left ventricular (LV) function was impaired and had second‐degree heart block Mobitz Type II; however, he had occluded bilateral subclavian veins due to a sizeable retrosternal goiter. This obstruction led to the implantation of a single lead pacemaker via the right femoral vein after multiple failed attempts at CRT, dual chamber pacemaker and left bundle branch area pacing (LBBaP).</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37594289</pmid><doi>10.1111/pace.14806</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0001-8387-0092</orcidid></addata></record> |
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| ispartof | Pacing and clinical electrophysiology, 2024-05, Vol.47 (5), p.673-675 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged cardiac implantable electronic devices Case reports central venous obstruction Electronic equipment femoral vein access Fibrosis Goiter Goiter, Substernal - complications Goiter, Substernal - surgery Heart Humans Male Pacemaker, Artificial Pacemakers Prosthesis Implantation - methods retrosternal goiter Subclavian Vein - diagnostic imaging Subclavian Vein - surgery Thrombosis |
| title | Device implantation complicated by a retrosternal goiter |
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