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


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.


Apr 1, 1995·American Heart Journal·C M FrancisI N Gillespie
Mar 15, 2000·Journal of Vascular and Interventional Radiology : JVIR·S M SlonimM D Dake
Dec 22, 2000·Current Opinion in Cardiology·S Pavia, B L Wilkoff
Nov 15, 2001·Pacing and Clinical Electrophysiology : PACE·T InoueH Oku
Jun 7, 2002·Pacing and Clinical Electrophysiology : PACE·C L ByrdC Reiser
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 24, 2002·Pacing and Clinical Electrophysiology : PACE·Albert W ChanJay S Yadav
Apr 6, 2004·Cardiovascular and Interventional Radiology·Carlos LanciegoLorenzo García García
Apr 27, 2005·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Atul Verma, B L Wilkoff


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
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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