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Percutaneous treatment of the superior vena cava syndrome via an excimer laser sheath in a patient with a single chamber atrial pacemaker

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Abstract

A 21-year-old woman presented with a pacemaker-associated superior vena cava (SVC) syndrome refractory to medical therapy. In the past, treatment of this condition has involved surgical exploration which is invasive. With the evolution of percutaneous techniques, treatment has included venoplasty and stenting over the pacemaker lead. There is limited experience with a more advanced percutaneous technique in which the lead is extracted by an excimer laser sheath. The extraction is immediately followed by venoplasty and stenting at the site of stenosis with subsequent implantation of a new permanent pacemaker at the previously occluded access site. The patient underwent this procedure which proved to be safe, minimally invasive, and an efficient method of treating SVC syndrome secondary to a single chamber atrial pacemaker.

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References

  1. Bracke, F., Meijer, A., & Van Gelder, B. (2003). Venous occlusion of the access vein in patients referred for lead extraction: Influence of patient and lead characteristics. Pacing and Clinical Electrophysiology, 26, 1649–1652.

    Article  PubMed  Google Scholar 

  2. Pavia, S., & Wilkoff, B. (2001). The management of surgical complications of pacemaker and implantable cardioverter-defibrillators. Current Opinion in Cardiology, 16(1), 66–71.

    Article  PubMed  CAS  Google Scholar 

  3. Love, C. J., Wilkoff, B. L., Byrd, C. L., Belott, P. H., Brinker, J. A., Fearnot, N. E., et al. (2000). Recommendations for extraction of chronically implanted transvenous pacing and defibrillator leads: Indications, facilities, training. North American society of pacing and electrophysiology lead extraction conference faculty. Pacing and Clinical Electrophysiology, 23, 544–551.

    Article  PubMed  CAS  Google Scholar 

  4. Chan, A. W., Bhatt, D. L., Wilkoff, B. L., Roffi, M., Mukherjee, D., Gray, B. H., et al. (2002). Percutaneous treatment for pacemaker-associated superior vena cava syndrome. Pacing and Clinical Electrophysiology, 25, 1628–1633.

    Article  PubMed  Google Scholar 

  5. Youngson, G. G., McKenzie, F. N., & Michol, P. M. (1980). Superior vena cava syndrome: Case report—A complication of permanent transvenous endocardial cardiac pacing requiring surgical correction. American Heart Journal, 99, 503–505.

    Article  PubMed  CAS  Google Scholar 

  6. Inoue, T., Otaki, M., Nakamoto, S., Zang, Z., & Oku, H. (2001). Surgical treatment of pacemaker induced left innominate occlusion using a spiral vein graft. PACE, 24, 1566–1568.

    PubMed  CAS  Google Scholar 

  7. Francis, C. M., Starkey, I. R., Errington, M. L., & Gillespie, I. N. (1995). Venous stenting as treatment for pacemaker-induced superior vena cava syndrome. American Heart Journal, 129, 836–837.

    Article  PubMed  CAS  Google Scholar 

  8. Slonim, S. M., Semba, C. P., Sze, D. Y., & Dake, M. D. (2000). Placement of SVC stents over pacemaker wires for treatment of SVC syndrome. Journal of Vascular and Interventional Radiology, 11, 512–519.

    Google Scholar 

  9. Lanciego, C., Rodriguez, M., Rodriguez, A., Carbonell, M. A., & Garcia, L. G. (2003). Permanent pacemaker-induced superior vena cava syndrome: Successful treatment by endovascular stent. Cardiovascular and Interventional Radiology, 26, 576–579.

    Article  PubMed  Google Scholar 

  10. Gilard, M., Perennes, Mansourati, J., Etienne, Y., Fatemi, M., Blanc, J. J., et al. (2002). Stent implantation for the treatment of superior vena cava syndrome related to pacemaker leads. Europace, 4, 155–158.

    Article  PubMed  CAS  Google Scholar 

  11. Verma, A., & Wilkoff, B. L. (2004). Intravascular pacemaker and defibrillator lead extraction: A state-of-the-art review. Heart Rhythm, 6, 39–745.

    Google Scholar 

  12. Teo, N., Sabharwal, T., Rowland, E., Curry, P., & Adam, A. (2002). Treatment of superior vena cava obstruction secondary to pacemaker wires with balloon venoplasty and insertion of metallic stents. European Heart Journal, 23, 1465–1470.

    Article  PubMed  CAS  Google Scholar 

  13. Wilkoff, B. L., Byrd, C. L., Love, C. J., Hayes, D. L., Sellers, T. D., Schaerf, R., et al. (1999). Pacemaker lead extraction with the laser sheath: Results of the pacing lead extraction with the excimer sheath (PLEXES) trial. Journal of the American College of Cardiology, 33, 1671–1676.

    Article  PubMed  CAS  Google Scholar 

  14. Byrd, C. L., Wilkoff, B. L., Love, C. J., Seelers, T. D., & Reiser, C. (2002). Clinical study of the laser sheath for lead extraction: The total experience in the United States. PACE, 25, 804–808.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Leon H. Charney Division of Cardiology, New York University Medical Center, 403 East 34 Street, New York, NY, 10017, USA

    Ann C. Garlitski, Jad D. Swingle, Anthony Aizer, Douglas S. Holmes, Neil E. Bernstein & Larry A. Chinitz

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  1. Ann C. Garlitski
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  2. Jad D. Swingle
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  3. Anthony Aizer
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  4. Douglas S. Holmes
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  5. Neil E. Bernstein
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  6. Larry A. Chinitz
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Correspondence to Ann C. Garlitski.

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Garlitski, A.C., Swingle, J.D., Aizer, A. et al. Percutaneous treatment of the superior vena cava syndrome via an excimer laser sheath in a patient with a single chamber atrial pacemaker. J Interv Card Electrophysiol 16, 203–206 (2006). https://doi.org/10.1007/s10840-006-9041-5

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  • DOI: https://doi.org/10.1007/s10840-006-9041-5

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