Key result
Coronary balloon venoplasty successfully treats pacemaker-induced superior vena cava syndrome with fractured ventricular leads.
Why the study?
Venous thrombosis or stenosis frequently occurs after transvenous pacemaker lead implantation and requires effective treatment strategies for symptomatic cases such as superior vena cava syndrome.
Case Report (n=1)
No
Demonstrates the feasibility of using a coronary balloon for venoplasty to treat pacemaker-induced superior vena cava syndrome.
Case of hybrid EP-interventional management for lead fracture with venous occlusion; hypothesis-generating, prospective data needed before wider adoption.
Venous thrombosis or stenosis frequently occurs after implanting transvenous pacemaker leads, and it is usually asymptomatic. The reported incidence is 30%-64%. The mandatory treatments are balloon angioplasty, stenting, thrombolytic, mechanical thrombectomy, and venous grafting. We present a case with the special cooperation of an electrophysiologist and a coronary interventionist in Ha Noi Heart Hospital, Vietnam, to treat an implanted pacemaker patient with fracture ventricular lead and superior vena cava syndrome.
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Le Tra Pham (2021) conducted a case report in Pacemaker-induced superior vena cava syndrome (n=1). Venoplasty with a coronary balloon was evaluated. Venoplasty with a coronary balloon was used to treat a patient with pacemaker-induced superior vena cava syndrome and a fractured ventricular lead.
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