Central Venoplasty in Patients with Cardiac Implantable Electronic Devices
| Autor: | Mohammad Arabi, Mohammed Aljarie, Mohammed Alahmari |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Hickman line medicine.medical_treatment Fistula 030232 urology & nephrology R895-920 occlusion 030204 cardiovascular system & hematology 03 medical and health sciences Medical physics. Medical radiology. Nuclear medicine 0302 clinical medicine Superior vena cava Angioplasty Occlusion medicine balloon angioplasty Embolization Brachiocephalic vein business.industry stenosis General Medicine medicine.disease pacemaker Surgery Catheter dialysis business |
| Zdroj: | The Arab Journal of Interventional Radiology, Vol 5, Iss 01, Pp 030-034 (2021) |
| ISSN: | 2542-7083 2542-7075 |
| DOI: | 10.1055/s-0041-1730121 |
| Popis: | Objective The aim of this study was to assess the safety and effectiveness of the central venous angioplasty in patients with central venous occlusion and cardiac implantable electronic device (CIED) without lead extraction.Materials and Methods A retrospective study was used to evaluate the effectiveness of 37 central venous angioplasty procedure for 15 patients with CIED without lead extraction.Results Technical success was achieved in 97% (n = 36/37) and clinical success was achieved in 89% (33/37) of the procedures. One procedure failed recanalization of chronic total occlusion of the left subclavian vein, and the patient required fistula embolization due to severe arm swelling. Another procedure failed initially to recanalize long-segment occlusion involving the right subclavian vein/brachiocephalic vein and superior vena cava in a patient with a history of Hickman line and left-sided CIED. This was successfully recanalized and angioplastied on a subsequent session. No lead fracture or dislodgment was documented in any procedure. No procedure-related complication was documented within 2 weeks after the angioplasty. Six-month primary patency was achieved in 62% (23/37) of the procedures. Ten patients (66%) required an average of 1.4 reinterventions (range: 1–4 interventions) during the follow-up time with mean time to reintervention of 318 days (5–1,380 days). Two patients required early reinterventions within 10 days due to catheter dysfunction.Conclusion Findings of this study support the existing evidence on the safety and effectiveness of balloon angioplasty without lead extraction. |
| Databáze: | OpenAIRE |
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