Permanent Pacemaker-Induced Superior Vena Cava Syndrome: Successful Treatment by Endovascular Stent

Journal Article · Sat Nov 15 04:00:00 EST 2003 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-003-0070-5· OSTI ID:21088324

Lanciego, Carlos ^[1]; Rodriguez, Mario ^[2]; Rodriguez, Adela; Carbonell, Miguel A ^[3]; Garcia, Lorenzo Garcia ^[1]

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1. Hospital Virgen de la Salud, Hospital Virgen del Valle, Complejo Hospitalario de Toledo, Toledo, Unit of Interventional Radiology (Spain)
2. Hospital Virgen de la Salud, Hospital Virgen del Valle, Complejo Hospitalario de Toledo, Toledo, Unit of Intensive Care (Spain)
3. Hospital Virgen de la Salud, Hospital Virgen del Valle, Complejo Hospitalario de Toledo, Toledo, Unit of Geriatrics (Spain)

The use of metallic stents in the management of benign and malignant superior vena cava syndrome (SVCS) is well documented. Symptomatic stenosis or occlusion of the SVC is a rare complication of a transvenous permanent pacemaker implant. Suggested treatments have included anticoagulation therapy, thrombolysis, balloon angioplasty and surgery. More recently, endovascular stenting has evolved as an attractive alternative but the data available in the literature are limited. We describe a case in which venous stenting with a Wallstent endoprosthesis was used successfully. The patient remains symptom free and with normal pacemaker function 36 months later.

• OSTI ID: 21088324
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 6 Vol. 26; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
CARDIAC PACEMAKERS
CARDIOVASCULAR DISEASES
IMPLANTS
PATIENTS
SURGERY
SYMPTOMS
THERAPY