Lead-related superior vena cava syndrome: Management and outcomes.

Heart Rhythm : the Official Journal of the Heart Rhythm Society
Yingyot Arora, Roger G Carrillo

Abstract

Superior vena cava (SVC) syndrome includes the clinical sequalae of facial and bilateral upper extremity edema, dizziness, and occasional syncope. Historically, most cases have been associated with malignancy and treatment is palliative. However, cardiac device leads have been identified as important nonmalignant causes of this syndrome. There are little data on the effectiveness of venoplasty and lead extraction in the management of these patients. The objective of this study was to report the findings associated with the use of balloon angioplasty and lead extraction in the management of 17 patients with lead induced SVC syndrome. Data collected from January 2003 to July 2019 identified 17 cases of SVC syndrome at our tertiary center. Their outcomes were compared to a control group of patients without SVC syndrome. A P value of <.05 was considered statistically significant. Of the 17 patients, 13 (76%) underwent transvenous lead extraction and venoplasty. Three patients (18%) were treated with venoplasty alone, and 1 patient (6%) underwent surgical SVC reconstruction. In 10 patients (59%), transvenous reimplantation was necessary. Symptom resolution was achieved in all 17 patients and confirmed at both 6 and 12 months' follow...Continue Reading

References

Aug 1, 1976·The Annals of Thoracic Surgery·W S StoneyC S Thomas
Apr 1, 1995·American Heart Journal·C M FrancisI N Gillespie
Mar 1, 1993·American Heart Journal·Hector Alfredo MazzettiJ O Lazzari
Apr 1, 1996·The American Journal of Cardiology·R J KastnerM E Bacon
Oct 25, 2000·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·C SugaM A Lloyd
Jul 24, 2002·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·M GilardJ Boschat
Dec 31, 2003·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Lars LickfettBerndt Lüderitz
Dec 3, 2004·Journal of Cardiovascular Electrophysiology·Cornelis J van RoodenMenno V Huisman
Feb 22, 2005·Journal of Cardiovascular Electrophysiology·Hyung-Wook ParkJung-Chaee Kang
Sep 7, 2007·Journal of Vascular and Interventional Radiology : JVIR·Michael A Mahlon, Hyo-Chun Yoon
Jan 7, 2010·Pacing and Clinical Electrophysiology : PACE·Robert F RileyYaver Bashir
Apr 27, 2010·Journal of Vascular and Interventional Radiology : JVIR·Sanjoy Kundu
Aug 19, 2010·Circulation. Arrhythmia and Electrophysiology·Melanie MaytinCharles A Henrikson
Oct 25, 2011·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·B KlopB van Gelder
Aug 16, 2012·Seminars in Dialysis·Theodore F SaadASDIN Clinical Practice Committee Workgroup
Jul 22, 2014·Pacing and Clinical Electrophysiology : PACE·Hai-Xia FuYong-Mei Cha
Aug 2, 2015·Journal of the American Heart Association·Basil Abu-El-HaijaMichael C Giudici
Apr 6, 2016·Texas Heart Institute Journal·Sanjay Mehra, Mihail Gabriel Chelu
May 24, 2016·The Annals of Thoracic Surgery·Ashish N MadkaikerPraveen Kerala Varma
Jul 24, 2017·The Annals of Thoracic Surgery·Ramón Maseda UrizaEnrique Oliva De Anquín
Sep 19, 2017·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Fred M KusumotoOussama Wazni
Jul 26, 2018·Clinical Journal of the American Society of Nephrology : CJASN·Scott O TrerotolaLutonix AV Clinical Trial Investigators
Jul 17, 2019·Brazilian Journal of Cardiovascular Surgery·Simon PechaSamer Hakmi
Nov 26, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Luis H Paz RiosMark D Metzl
Jul 1, 2020·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Naga Venkata K PothineniRobert D Schaller

Citations

Nov 20, 2020·Heart Rhythm : the Official Journal of the Heart Rhythm Society·James GabrielsLaurence M Epstein

Related Concepts

Malignant Neoplasms
Complication
Dizziness
Edema
Face
Heart-Assist Devices
Palliative Care
Surgical Replantation
Superior Vena Cava Syndrome
Extraction

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Genetic Screens in iPSC-derived Brain Cells

Genetic screening is a critical tool that can be employed to define and understand gene function and interaction. This feed focuses on genetic screens conducted using induced pluripotent stem cell (iPSC)-derived brain cells. It also follows CRISPR-Cas9 approaches to generating genetic mutants as a means of understanding the effect of genetics on phenotype.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Pediculosis pubis

Pediculosis pubis is a disease caused by a parasitic insect known as Pthirus pubis, which infests human pubic hair, as well as other areas with hair including eye lashes. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Rh Isoimmunization

Rh isoimmunization is a potentially preventable condition that occasionally is associated with significant perinatal morbidity or mortality. Discover the latest research on Rh Isoimmunization here.

Pharmacology of Proteinopathies

This feed focuses on the pharmacology of proteinopathies - diseases in which proteins abnormally aggregate (i.e. Alzheimer’s, Parkinson’s, etc.). Discover the latest research in this field with this feed.

Enzyme Evolution

This feed focuses on molecular models of enzyme evolution and new approaches (such as adaptive laboratory evolution) to metabolic engineering of microorganisms. Here is the latest research.

Alignment-free Sequence Analysis Tools

Alignment-free sequence analyses have been applied to problems ranging from whole-genome phylogeny to the classification of protein families, identification of horizontally transferred genes, and detection of recombined sequences. Here is the latest research.

Related Papers

The New England Journal of Medicine
B B Mittal
Journal of Research in Medical Sciences : the Official Journal of Isfahan University of Medical Sciences
Mohammad Emami Ardestani, Firouzeh Moeinzadeh
Heart Rhythm : the Official Journal of the Heart Rhythm Society
Koji HiguchiMitsuaki Isobe
JACC. Cardiovascular Interventions
Abdul Hussain AziziRiyaz Bashir
© 2021 Meta ULC. All rights reserved