Narrow Escape: A Novel Approach to the Endovascular Treatment of Superior Vena Cava Syndrome Secondary to Pacemaker Leads with Excellent Long-term Outcomes.

balloon angioplasty interventional cardiology lead complication pacemaker complication permanent pacemaker (ppm) complication superior vena cava (svc) obstruction superior vena cava (svc) syndrome

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
12 Mar 2020
Historique:
entrez: 16 4 2020
pubmed: 16 4 2020
medline: 16 4 2020
Statut: epublish

Résumé

Pacemaker or defibrillator placement is a common procedure done in more and more patients due to increased longevity and the prominence of cardiac disease. With more indications for cardiac implantable electrode devices, the devices themselves have evolved into more complex structures with more leads. The mechanical stress, risk of infection, and decreased blood flow through the superior vena cava (SVC) put patients at risk for SVC obstruction. Herein, we present a rare case of complete SVC obstruction secondary to fibrosis due to pacemaker leads which was treated with venoplasty and showed excellent long-term results. We also review the current literature on different approaches to treating SVC obstruction in this group of patients.

Identifiants

pubmed: 32292664
doi: 10.7759/cureus.7249
pmc: PMC7152578
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e7249

Informations de copyright

Copyright © 2020, Malyshev et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Yury Malyshev (Y)

Cardiology, Maimonides Medical Center, Brooklyn, USA.

Sergey Ayzenberg (S)

Cardiology, Maimonides Medical Center, Brooklyn, USA.

Sonu Sahni (S)

Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, USA.
Research Medicine, New York Institute of Technology College of Osteopathic Medicine, New York, USA.
Primary Care, Touro College of Osteopathic Medicine, New York, USA.

Mazin Khalid (M)

Cardiology, Maimonides Medical Center, Brooklyn, USA.

Jeffrey Le (J)

Cardiology, Maimonides Medical Center, Brooklyn, USA.

Classifications MeSH