Leadless pacing in a patient with superior vena cava syndrome undergoing lead extraction and percutaneous angioplasty. Issue 6 (June 2018)

• Record Type: Journal Article
• Authors: Zucchelli, Giulio; Favilli, Elena; Viani, Stefano; Barletta, Valentina; Di Cori, Andrea; Segreti, Luca; Bongiorni, Maria Grazia
• Is Part Of: Journal of cardiology cases. Volume 17:Issue 6(2018)
• Page Start: 212
• Page End: 214
• Publication Date: 2018-06
• Subjects: Lead extraction -- Leadless pacing -- Superior vena cava syndrome -- Percutaneous lead management -- Interventional cardiology; Cardiology -- Periodicals; Cardiovascular Diseases -- Case Reports; Cardiovascular Diseases -- Periodicals; Cardiology -- Case Reports; Cardiology -- Periodicals; Cardiology; Electronic journals; Periodicals; 616.12
• DOI: 10.1016/j.jccase.2018.02.008
• Languages: English
• ISSNs: 1878-5409

Abstract

Abstract: Superior vena cava (SVC) syndrome is an uncommon but serious complication associated with chronic transvenous implanted leads. In the recent past, open-heart surgery combining lead extraction and epicardial implant was usually performed to reduce syndrome recurrences. We describe the case of a 78-year-old man successfully treated by percutaneous lead extraction associated with venous balloon angioplasty and reimplantation of leadless pacemaker. <Learning objective: Chronic vascular complications following lead implantation usually require surgical treatment, due to the need for subsequent epicardial implantation. Percutaneous lead extraction along with leadless pacing allowed effective non-surgical management of chronic complications of transvenous pacing.>