Upper extremity venous obstruction is a frequent and progressively increasing complication following ICD implantation, with higher risk in older patients, those with DCM, and those with multiple leads.
Supports monitoring for venous obstruction in high-risk ICD recipients; extends observational data but leaves open preventive trials.
Severe obstruction of the access veins after ICD implantation occurs frequently and its prevalence shows a nearly linear increase over long-time follow-up. Multiple leads, an advanced age and DCM as underlying disease are associated with an increased risk of venous obstruction while the role of anticoagulation to prevent venous obstruction in ICD patients is unclear.
No takes yet. Share an insight, caveat, or question.
Horlbeck et al. (2021) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: