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Permanent Pacemaker-Induced Superior Vena Cava Syndrome: Successful Treatment by Endovascular Stent

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Abstract

The 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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Acknowledgements

The authors thank Dr. Peter R. Turner of t-SciMed (Reus, Spain) for editorial assistance.

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Authors and Affiliations

  1. Unit of Interventional Radiology, Hospital Virgen de la Salud, Hospital Virgen del Valle, Complejo Hospitalario de Toledo, Toledo, Spain

    Carlos Lanciego & Lorenzo García García

  2. Unit of Intensive Care, Hospital Virgen de la Salud, Hospital Virgen del Valle, Complejo Hospitalario de Toledo, Toledo, Spain

    Mario Rodriguez

  3. Unit of Geriatrics, Hospital Virgen de la Salud, Hospital Virgen del Valle, Complejo Hospitalario de Toledo, Toledo, Spain

    Adela Rodriguez & Miguel A. Carbonell

Authors
  1. Carlos Lanciego
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  2. Mario Rodriguez
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  3. Adela Rodriguez
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  4. Miguel A. Carbonell
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  5. Lorenzo García García
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Corresponding author

Correspondence to Carlos Lanciego.

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Lanciego, C., Rodriguez, M., Rodriguez, A. et al. Permanent Pacemaker-Induced Superior Vena Cava Syndrome: Successful Treatment by Endovascular Stent . CVIR 26, 576–579 (2003). https://doi.org/10.1007/s00270-003-0070-5

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  • DOI: https://doi.org/10.1007/s00270-003-0070-5

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