Korean Circ J.  2005 Jul;35(7):558-561. 10.4070/kcj.2005.35.7.558.

A Case of Pacemaker Implantation after Balloon Venoplasty on Innominate Vein Stenosis

• Kim JS
• Pak HN
• Lim HE
• Kim YH

• KMID: 1769296
• DOI: http://doi.org/10.4070/kcj.2005.35.7.558

Abstract

A pacemaker-induced venous obstruction is relatively common, but is rare in cases where chronic venous occlusion has developed and progressed after the removal of permanent pacemaker leads. We report a case of permanent pacemaker implantation following percutaneous balloon venoplasty in a patient with innominate vein stenosis. The patient had a history of permanent pacemaker implantation, using a right subclavian approach, with lead extraction due to infective endocarditis 6 years earlier. Although the epicardial leads were re-implanted, once more the ventricular lead broke. When we tried to implant a new pacemaker, using a left subclavian endovascular approach, extensive venous stenoses of the innominate, right internal jugular and subclavian veins were found. As it was impossible to advance the standard pacemaker lead; therefore, percutaneous balloon venoplasty of the innominate vein was performed, and a DDD-R pacemaker successfully implanted.

Keyword

Pacemaker, artificial; Venous thrombosis; Balloon angioplasty

MeSH Terms

Angioplasty, Balloon
Brachiocephalic Veins*
Constriction, Pathologic*
Endocarditis
Humans
Pacemaker, Artificial
Subclavian Vein
Venous Thrombosis