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Cardiovasc Intervent Radiol · Nov 2003
Case ReportsPermanent pacemaker-induced superior vena cava syndrome: successful treatment by endovascular stent.
- Carlos Lanciego, Mario Rodriguez, Adela Rodriguez, Miguel A Carbonell, and Lorenzo García García.
- Unit of Interventional Radiology, Hospital Virgen de la Salud, Complejo Hospitalario de Toledo, Toledo, Spain. clanciego@eresmas.com
- Cardiovasc Intervent Radiol. 2003 Nov 1; 26 (6): 576-9.
AbstractThe use of metallic stents in the management of benign and malignant superior vena cava syndrome (SVCS) is well documented. Symptomatic stenosis or occlusion of the SVC is a rare complication of a transvenous permanent pacemaker implant. Suggested treatments have included anticoagulation therapy, thrombolysis, balloon angioplasty and surgery. More recently, endovascular stenting has evolved as an attractive alternative but the data available in the literature are limited. We describe a case in which venous stenting with a Wallstent endoprosthesis was used successfully. The patient remains symptom free and with normal pacemaker function 36 months later.
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