Superior vena cava syndrome after pacemaker implantation treated with direct oral anticoagulation
Abstract Background Superior 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 presentation We report a case of a 75-year-old woman who developed...
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oai:doaj.org-article:56af14c9c6b346ac972095ce852854a82021-11-14T12:28:46ZSuperior vena cava syndrome after pacemaker implantation treated with direct oral anticoagulation10.1186/s12959-021-00321-71477-9560https://doaj.org/article/56af14c9c6b346ac972095ce852854a82021-11-01T00:00:00Zhttps://doi.org/10.1186/s12959-021-00321-7https://doaj.org/toc/1477-9560Abstract Background Superior 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 presentation We 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. Conclusions Generally 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.Nicola MumoliAntonino MazzoneIsabella EvangelistaMarco CeiAlessandra ColomboBMCarticleSuperior vena cavaPacemakerThrombosisDiseases of the blood and blood-forming organsRC633-647.5ENThrombosis Journal, Vol 19, Iss 1, Pp 1-4 (2021) |
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Superior vena cava Pacemaker Thrombosis Diseases of the blood and blood-forming organs RC633-647.5 |
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Superior vena cava Pacemaker Thrombosis Diseases of the blood and blood-forming organs RC633-647.5 Nicola Mumoli Antonino Mazzone Isabella Evangelista Marco Cei Alessandra Colombo Superior vena cava syndrome after pacemaker implantation treated with direct oral anticoagulation |
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Abstract Background Superior 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 presentation We 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. Conclusions Generally 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. |
format |
article |
author |
Nicola Mumoli Antonino Mazzone Isabella Evangelista Marco Cei Alessandra Colombo |
author_facet |
Nicola Mumoli Antonino Mazzone Isabella Evangelista Marco Cei Alessandra Colombo |
author_sort |
Nicola Mumoli |
title |
Superior vena cava syndrome after pacemaker implantation treated with direct oral anticoagulation |
title_short |
Superior vena cava syndrome after pacemaker implantation treated with direct oral anticoagulation |
title_full |
Superior vena cava syndrome after pacemaker implantation treated with direct oral anticoagulation |
title_fullStr |
Superior vena cava syndrome after pacemaker implantation treated with direct oral anticoagulation |
title_full_unstemmed |
Superior vena cava syndrome after pacemaker implantation treated with direct oral anticoagulation |
title_sort |
superior vena cava syndrome after pacemaker implantation treated with direct oral anticoagulation |
publisher |
BMC |
publishDate |
2021 |
url |
https://doaj.org/article/56af14c9c6b346ac972095ce852854a8 |
work_keys_str_mv |
AT nicolamumoli superiorvenacavasyndromeafterpacemakerimplantationtreatedwithdirectoralanticoagulation AT antoninomazzone superiorvenacavasyndromeafterpacemakerimplantationtreatedwithdirectoralanticoagulation AT isabellaevangelista superiorvenacavasyndromeafterpacemakerimplantationtreatedwithdirectoralanticoagulation AT marcocei superiorvenacavasyndromeafterpacemakerimplantationtreatedwithdirectoralanticoagulation AT alessandracolombo superiorvenacavasyndromeafterpacemakerimplantationtreatedwithdirectoralanticoagulation |
_version_ |
1718429167440101376 |