A Case of Pacemaker Implantation after Balloon Venoplasty on Innominate Vein Stenosis.
10.4070/kcj.2005.35.7.558
- Author:
Jin Seok KIM
1
;
Hui Nam PAK
;
Hong Euy LIM
;
Young Hoon KIM
Author Information
1. Korea University Cardiovascular Center, Seoul, Korea. hnpak@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Pacemaker, artificial;
Venous thrombosis;
Balloon angioplasty
- MeSH:
Angioplasty, Balloon;
Brachiocephalic Veins*;
Constriction, Pathologic*;
Endocarditis;
Humans;
Pacemaker, Artificial;
Subclavian Vein;
Venous Thrombosis
- From:Korean Circulation Journal
2005;35(7):558-561
- CountryRepublic of Korea
- Language:English
-
Abstract:
A pacemaker-induced venous obstruction is relatively common, but is rare in cases where chronic venous occlusion has developed and progressed after the removal of permanent pacemaker leads. We report a case of permanent pacemaker implantation following percutaneous balloon venoplasty in a patient with innominate vein stenosis. The patient had a history of permanent pacemaker implantation, using a right subclavian approach, with lead extraction due to infective endocarditis 6 years earlier. Although the epicardial leads were re-implanted, once more the ventricular lead broke. When we tried to implant a new pacemaker, using a left subclavian endovascular approach, extensive venous stenoses of the innominate, right internal jugular and subclavian veins were found. As it was impossible to advance the standard pacemaker lead; therefore, percutaneous balloon venoplasty of the innominate vein was performed, and a DDD-R pacemaker successfully implanted.
