Contralateral replacement of pacemaker and leads following laser sheath extraction and concomitant stenting for superior vena cava syndrome

Pacing and Clinical Electrophysiology : PACE
Ihsan BakirFrancis Wellens

Abstract

We present the case of a 61-year-old man with a history of pacemaker implantation 15 years ago. The patient was admitted with chronic swelling of the right hemithorax and inflammation of the old incision scar after the replacement of pacemaker generator 6 years ago. The patient also presented symptoms and clinical signs of superior vena cava syndrome. Computed tomography of the thorax showed obstruction of the superior vena cava. The surgical procedure consisted of extraction of infected pacemaker system with excimer laser technique followed by dilatation and stenting of the SVC and finally implantation of a new permanent pacemaker system on the left side.

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Citations

Aug 1, 2006·Photomedicine and Laser Surgery
Jan 7, 2010·Pacing and Clinical Electrophysiology : PACE·Robert F RileyYaver Bashir
Jun 15, 2007·The American Journal of Cardiology·Arash AryanaAndrew I Gelbman
Nov 20, 2020·Heart Rhythm : the Official Journal of the Heart Rhythm Society·James GabrielsLaurence M Epstein

Related Concepts

Communicable Diseases
Artificial Cardiac Pacemaker
Superior Vena Cava Thrombosis
Stent, Device
Device Removal
Laser Surgery

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