Outcome and management of pacemaker-induced superior vena cava syndrome

Pacing and Clinical Electrophysiology : PACE
Hai-Xia FuYong-Mei Cha

Abstract

We aimed to determine the long-term outcomes of percutaneous lead extraction and stent placement in patients with pacemaker-induced superior vena cava (SVC) syndrome. The study retrospectively screened patients who underwent lead extraction followed by central vein stent implantation at Mayo Clinic (Rochester, MN, USA), from January 2005 to December 2012, to identify the patients with pacemaker-induced SVC syndrome. Demographic, clinical, and follow-up characteristics of those patients were collected from electronic medical records. Six cases were identified. The mean (standard deviation) age was 56 (15) years (male, 67%). All patients had permanent dual-chamber pacemakers, with a mean 11-year history of pacemaker placement. The entire device system was explanted in five patients; one patient had a 21-year-old pacemaker lead that could not be removed. Eight stents were implanted in six patients: five patients had one stent, one patient had three. A new pacemaker system was reimplanted through the stented vein in five patients. Technical success was achieved in all patients, without any complication. Symptoms rapidly resolved in all patients after stent deployment. The mean follow-up duration was 48 months (range, 10-100 months)...Continue Reading

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Related Concepts

Artificial Cardiac Pacemaker
Retrospective Studies
Superior Vena Cava Thrombosis
Stent, Device
Device Removal
Complication
Medical Devices
Surgical Replantation
Retrospective Studies
Superior Vena Cava Syndrome

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