Superior vena cava syndrome after pacemaker implantation treated with direct oral anticoagulation

Thrombosis Journal

Nicola Mumoli¹  Marco Cei¹  Isabella Evangelista¹  Antonino Mazzone¹  Alessandra Colombo¹ 

[1] Department of Internal Medicine,, Ospedale Fornaroli, via Donatori Sangue, 50, 20013, Magenta, MI, Italy;

关键词: Superior vena cava;    Pacemaker;    Thrombosis;   

DOI  :  10.1186/s12959-021-00321-7

来源: Springer

【 摘 要 】

BackgroundSuperior Vena Cava (SVC) syndrome, is a quite rare but serious complication after pacemaker lead implantation; most patients are asymptomatic due to the development of adequate venous collateral circulation.Case presentationWe report a case of a 75-year-old woman who developed SVC syndrome after transvenous pacemaker implantation with complete resolution of the thrombosis after 3 months of oral anticoagulation.ConclusionsGenerally other causes as malignancy are considered to be the most common etiology of SVC syndrome, but benign iatrogenic causes, mainly intravascular devices (central vein catheters, cardiac defibrillators and pacemaker wires), are becoming increasingly common. Procedures performed on venous vasculature, causing a possible intimal injury or vein stenosis, provoked by transvenous leads, seem to be the most reasonable explanation for the observed complication.

【 授权许可】

CC BY