Percutaneous treatment of the superior vena cava syndrome via an excimer laser sheath in a patient with a single chamber atrial pacemaker

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
Ann C GarlitskiLarry A Chinitz

Abstract

A 21-year-old woman presented with a pacemaker-associated superior vena cava (SVC) syndrome refractory to medical therapy. In the past, treatment of this condition has involved surgical exploration which is invasive. With the evolution of percutaneous techniques, treatment has included venoplasty and stenting over the pacemaker lead. There is limited experience with a more advanced percutaneous technique in which the lead is extracted by an excimer laser sheath. The extraction is immediately followed by venoplasty and stenting at the site of stenosis with subsequent implantation of a new permanent pacemaker at the previously occluded access site. The patient underwent this procedure which proved to be safe, minimally invasive, and an efficient method of treating SVC syndrome secondary to a single chamber atrial pacemaker.

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Citations

Oct 25, 2011·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·B KlopB van Gelder
Mar 17, 2010·Pacing and Clinical Electrophysiology : PACE·Anoop K ShettyPier D Lambiase
Jul 22, 2014·Pacing and Clinical Electrophysiology : PACE·Hai-Xia FuYong-Mei Cha
Jan 7, 2010·Pacing and Clinical Electrophysiology : PACE·Robert F RileyYaver Bashir
Feb 23, 2008·The Annals of Thoracic Surgery·Brian E KogonWendy M Book
Jul 12, 2018·Current Treatment Options in Cardiovascular Medicine·Joseph DonnellyApoor Patel
Dec 29, 2009·The International Journal of Artificial Organs·Chrisoula PipiliHelen Tzanatos

Related Concepts

Structure of Azygous Vein
Cardiac Pacing, Artificial
Catheterization
Implantable Stimulation Electrodes
Artificial Cardiac Pacemaker
Diagnostic Radiologic Examination
Superior Vena Cava Thrombosis
Stent, Device
Structure of Brachiocephalic Vein
Device Removal

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