Key result
Percutaneous transvenous angioplasty successfully managed left innominate vein stenosis in a young male, allowing placement of a new pacemaker lead from the left side.
Case Report (n=1)
Percutaneous transvenous angioplasty via a left femoral to left axillary vein approach can successfully manage central venous stenosis to facilitate new pacemaker lead placement.
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May facilitate left-sided lead placement after angioplasty in select cases; leaves open need for prospective safety and durability data.
Central venous stenosis after the insertion of a permanent pacemaker is a well recognized complication. This late complication is encountered when there is a need to change the pacemaker lead or extract it. We describe a young male who had such a complication after many years after right side pacemaker implantation. The lesion was managed percutaneously leading to placement of a new lead from the left side.
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Sharma et al. (2012) conducted a case report in Left innominate vein stenosis following right side permanent pacemaker implantation (n=1). Percutaneous transvenous angioplasty was evaluated on Placement of a new pacemaker lead. Percutaneous transvenous angioplasty successfully managed left innominate vein stenosis in a young male, allowing placement of a new pacemaker lead from the left side.
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