Key result
An 88-year-old male developed extensive upper extremity deep venous thrombosis in the left subclavian, axillary, brachial, and basilic veins shortly after dual-chamber pacemaker implantation.
Why the study?
Upper extremity deep venous thrombosis is a complication of pacemaker implantation that can lead to pulmonary embolism, limb loss, or death.
Case Report (n=1)
This case highlights the importance of monitoring for and treating upper extremity deep venous thrombosis following pacemaker implantation.
Answers are grounded in this paper and cite their sources.
Vigilance for UEDVT is warranted after pacemaker implantation; this Level 5 case leaves open incidence, risk factors, and prevention needs.
Pacemakers are implanted as part of the treatment process of conditions including symptomatic bradycardia and certain types of heart block. One complication associated with pacemaker implantation is upper extremity deep venous thrombosis (UEDVT), which can subsequently lead to pulmonary embolism, limb loss, or death. We present the case of an 88-year-old male who developed UEDVT in his left subclavian, axillary, brachial, and basilic veins shortly after dual chamber pacemaker implantation for treating symptomatic heart block. The patient received anticoagulation with intravenous heparin while inpatient but was switched to oral apixaban prior to discharge. This case highlights the importance of detecting and treating UEDVT in patients who recently underwent pacemaker placement.
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Jagadish et al. (2023) conducted a case report in Upper extremity deep venous thrombosis (UEDVT) (n=1). Pacemaker implantation was evaluated on Development of upper extremity deep venous thrombosis. An 88-year-old male developed extensive upper extremity deep venous thrombosis in the left subclavian, axillary, brachial, and basilic veins shortly after dual-chamber pacemaker implantation.
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