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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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.
KeywordsPacemaker Percutaneous treatment Excimer laser sheath
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- 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.PubMedCrossRefGoogle 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
- 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
- 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.PubMedCrossRefGoogle Scholar