Back to Search Start Over

Progression of venous pathology after pacemaker and cardioverter-defibrillator implantation: A prospective serial venographic study.

Authors :
Korkeila, Petri
Ylitalo, Antti
Koistinen, Juhani
Airaksinen, K. E. Juhani
Source :
Annals of Medicine; May2009, Vol. 41 Issue 3, p216-223, 8p, 2 Black and White Photographs, 2 Charts
Publication Year :
2009

Abstract

Background and aims. Prospective data on development of venous obstruction after electrode implantation are limited. We performed a prospective study on 150 patients undergoing first pacemaker implantation. Methods. Venographies at base-line and 6 months postimplantation in all patients, 50 patients included into a long-term follow-up of a mean of 2.4 years after implantation. Results. At 6 months 14% had obstructions, but only 1 patient (0.7%) developed acute symptomatic upper extremity venous thrombosis. Pulmonary embolism (PE) was encountered in 5 (3.3%). After 6 months only 2 patients experienced pain in ipsilateral arm, but none had edema of arm, neck or head, or clinical PE. The 5 patients with total venous occlusion (TVO) at 6 months had no localized symptoms. Late venographic abnormalities developed in 5 (10%) patients: 4 TVOs and 1 stenosis. Two of the new lesions developed among 25 patients with normal 6-month venograms. Overall, TVO was detected in 9 of 150 patients. No factors emerged as independent predictors of total occlusion in multiple regression analysis. Conclusions. TVO is not uncommon after pacemaker implantation, and mostly occurs without any localizing symptoms. Most venous lesions seem to develop during the first months postimplantation, but late and unpredictable TVO may also occur. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
07853890
Volume :
41
Issue :
3
Database :
Complementary Index
Journal :
Annals of Medicine
Publication Type :
Academic Journal
Accession number :
37140796
Full Text :
https://doi.org/10.1080/07853890802498961