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Treatment of Pacemaker-Induced Superior Vena Cava Syndrome by Balloon Angioplasty and Stenting

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Abstract

Superior vena cava (SVC) syndrome is a rare but serious complication after pacemaker implantation. This report describes three cases of SVC syndrome treated with venoplasty and venous stenting, with an average follow-up of 30.7 (±3.1) months. These cases illustrate that the definitive diagnosis, and the extent and location of venous obstruction, can only be determined by venography.

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References

  1. Lindsay HSJ, Chennells PM, Perrins EJ. Successful treatment by balloon venoplasty and stent insertion of obstruction of the superior vena cava by an endocardial pacemaker lead. Br Heart J. 1994;71:363–5.

    Article  PubMed  CAS  Google Scholar 

  2. Rozmus G, Daubert JP, Huang DT, Rosero S, Hall B, Francis C. Venous thrombosis and stenosis after implantation of pacemakers and defibrillators. J Interv Card Electrophysiol. 2005;13:9–19.

    Article  PubMed  Google Scholar 

  3. Melzer C, Lembcke A, Ziemer S, Eddicks S, Witte J, Baumann G, et al. Pacemaker-induced superior vena cava syndrome: clinical evaluation of long term follow-up. Pacing Clin Electrophysiol. 2006;29:1346–51.

    Article  PubMed  Google Scholar 

  4. Goudevenos JA, Reid PG, Adams PC, Holden MP, Williams DO. Pacemaker induced superior vena cava syndrome: report of four cases and review of the literature. Pacing Clin Electrophysiol. 1989;12:1890–5.

    Article  PubMed  CAS  Google Scholar 

  5. Riley RF, Petersen SE, Ferguson JD, Bashir Y. Managing superior vena cava syndrome as a complication of pacemaker implantation: a pooled analysis of clinical practice. Pacing Clin Electrophysiol. 2010;33:420–5.

    Article  PubMed  Google Scholar 

  6. Park HW, Kim W, Cho JG, Kang JC. Multiple pacing lead lead-induced superior vena cava syndrome: succesful treatment by balloon angioplasty. J Cardiovasc Electrophysiol. 2005;16:221–3.

    Article  PubMed  Google Scholar 

  7. Bracke F, Meijer A, Van Gelder B. Venous occlusion of the access vein in patients referred for lead extraction: influence of patients and lead characteristics. Pacing Clin Electrophysiol. 2003;26:1649–52.

    Article  PubMed  Google Scholar 

  8. Qanadli SD, El Hajjam ME, Mignon F, De Kerviler E, Rocha P, Barré O, et al. Subacute and chronic benign superior vena cava obstructions: endovascular treatment with self-expanding metallic stents. AJR Am J Roentgenol. 1999;173:159–64.

    PubMed  CAS  Google Scholar 

  9. Rosenthal E, Shakeel AQ, Tynan M, Bucknall CA. Percutaneous pacemaker lead extraction and stent implantation for superior vena cava occlusion due to pacemaker leads. Am J Cardiol. 1996;77:670–2.

    Article  PubMed  CAS  Google Scholar 

  10. Teo N, Sabharwal T, Rowland E, Curry P, Adam A. Treatment of superior vena cava obstruction secondary to pacemaker wires with balloon venoplasty and insertion of metallic stents. Eur Heart J. 2002;23:1465–70.

    Article  PubMed  CAS  Google Scholar 

  11. Tan CW, Vijitbenjaronk P, Khuri B. Superior vena cava syndrome due to permanent transvenous pacemaker electrodes: successful treatment with combined thrombolysis and angioplasty. Angiology. 2000;51:963–9.

    Article  PubMed  CAS  Google Scholar 

  12. Chan AW, Bhatt DL, Wilkoff BL, Roffi M, Mukherje D, Gray BH, et al. Percutaneous treatment for pacemaker-associated superior vena cava syndrome. Pacing Clin Electrophysiol. 2002;25:1628–33.

    Article  PubMed  Google Scholar 

  13. Kastner RJ, Fisher WG, Blacky AR, Bacon ME. Pacemaker-induced superior vena cava syndrome with successful treatment by balloon venoplasty. Am J Cardiol. 1996;77:789–90.

    Article  PubMed  CAS  Google Scholar 

  14. Gilard M, Pérennes A, Mansourati J, Etienne Y, Fatemi M, Blanc JJ, et al. Stent implantation for the treatment of superior vena cava syndrome related to pacemaker leads. Europace. 2002;4:155–8.

    Article  PubMed  CAS  Google Scholar 

  15. Garlitsky AC, Swingle JD, Aizer A, Holmes DS, Bernstein NE, Chinitz LA. Percutaneous treatment of the superior vena cava syndrome via an excimer laser sheath in a patient with a single chamber atrial pacemaker. J Interv Card Electrophysiol. 2006;16:203–6.

    Article  Google Scholar 

  16. Conte FA, Orzel JA. Superior vena cava syndrome and bilateral subclavian vein thrombosis CT and radionuclide venography correlation. Clin Nucl Med. 1986;11:698–700.

    Article  PubMed  CAS  Google Scholar 

  17. Qanadli SD, El Hajjam M, Bruckert F, Judet O, Barré O, Chagnon S, et al. Helical CT phlebography of superior vena cava: diagnosis and evaluation of venous obstruction. AJR Am J Roentgenol. 1999;172:1327–33.

    PubMed  CAS  Google Scholar 

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Correspondence to M. G. Scheffer.

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Klop, B., Scheffer, M.G., McFadden, E. et al. Treatment of Pacemaker-Induced Superior Vena Cava Syndrome by Balloon Angioplasty and Stenting. Neth Heart J 19, 41–46 (2011). https://doi.org/10.1007/s12471-010-0052-6

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  • DOI: https://doi.org/10.1007/s12471-010-0052-6

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