Leadless pacing in a patient with superior vena cava syndrome undergoing lead extraction and percutaneous angioplasty.

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.>.

SUBMITTER: Zucchelli G 

PROVIDER: S-EPMC6149588 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature