Key result
Percutaneous balloon venoplasty of the innominate vein successfully facilitated the implantation of a permanent pacemaker in a patient with severe central venous stenosis.
Case Report (n=1)
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Percutaneous balloon venoplasty can be a successful strategy to facilitate pacemaker implantation in patients with severe venous stenosis.
A pacemaker-induced venous obstruction is relatively common, but is rare in cases where chronic venous occlusion has developed and progressed after the removal of permanent pacemaker leads. We report a case of permanent pacemaker implantation following percutaneous balloon venoplasty in a patient with innominate vein stenosis. The patient had a history of permanent pacemaker implantation, using a right subclavian approach, with lead extraction due to infective endocarditis 6 years earlier. Although the epicardial leads were re-implanted, once more the ventricular lead broke. When we tried to implant a new pacemaker, using a left subclavian endovascular approach, extensive venous stenoses of the innominate, right internal jugular and subclavian veins were found. As it was impossible to advance the standard pacemaker lead; therefore, percutaneous balloon venoplasty of the innominate vein was performed, and a DDD-R pacemaker successfully implanted. (Korean Circulation J 2005;35:558-561)
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Kim et al. (2005) conducted a case report in Innominate vein stenosis and pacemaker-induced venous obstruction (n=1). Percutaneous balloon venoplasty and pacemaker implantation was evaluated on Successful pacemaker implantation and normal functioning. Percutaneous balloon venoplasty of the innominate vein successfully facilitated the implantation of a permanent pacemaker in a patient with severe central venous stenosis.
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