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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Autores principales: Nicola Mumoli, Antonino Mazzone, Isabella Evangelista, Marco Cei, Alessandra Colombo
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/56af14c9c6b346ac972095ce852854a8
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Superior vena cava
Pacemaker
Thrombosis
Diseases of the blood and blood-forming organs
RC633-647.5
spellingShingle 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
description 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
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