A Case of Left Brachiocephalic Vein Total Occlusion Due to Acute Thrombosis Soon after Permanent Pacemaker Insertion.
- Author:
In Sok SEO
1
;
Jun Huk CHOI
;
Yang Hoon NAM
;
Ji Whan IM
;
Ho Kyung WHANG
;
Kyung Heon WON
Author Information
1. Department of Internal Medicine, Seoul Medical Center, Seoul, Korea. ykjes@nate.com
- Publication Type:Case Report
- Keywords:
Pacemaker;
Thrombosis;
Occlusion
- MeSH:
Brachiocephalic Veins*;
Cough;
Edema;
Headache;
Heparin;
Humans;
Neck;
Phlebography;
Thrombosis*;
Upper Extremity;
Veins;
Vena Cava, Superior;
Warfarin
- From:Journal of the Korean Geriatrics Society
2007;11(4):229-233
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Symptomatic pacing lead-associated thrombosis is very uncommon occurring in 0.5-3.5% of pacemaker implants. Especially thrombisis-induced total occlusion occures almost in late stage over several months to years but acute thrombosis occurring several days after venous pacing has not been reported. In this case, We performed upper limb venography in the patient who presented edema and pain of neck, left upper limb and headache as well as intermittent cough occurring in bending forward. A venogram confirmed acute thrombus completely occluding the left brachiocephalic vein and the patient received intravenous heparin and was maintained on warfarin. Repeated veno- graphy after treatment for 30 days revealed persistent thrombus with total occlusion which not be improved signi- ficantly copmpared to previous venogram and collateral veins diverting the blood to the contralateral side and into the superior vena cava was developed. The patient's symptoms resolved almost and that is likely to be due to the development of collateral venous channels.
