Progression of venous pathology after pacemaker and cardioverter-defibrillator implantation: A prospective serial venographic study
| Autor: | Antti Ylitalo, K.E. Juhani Airaksinen, Petri Korkeila, Juhani Koistinen |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Pacemaker Artificial medicine.medical_specialty Pathology Time Factors Venography Constriction Pathologic Veins Risk Factors medicine Humans Prospective Studies Vein Prospective cohort study Finland Aged Venous Thrombosis medicine.diagnostic_test business.industry Vascular disease Cardiac Pacing Artificial Anatomical pathology Phlebography General Medicine medicine.disease Venous Obstruction Thrombosis Defibrillators Implantable Surgery medicine.anatomical_structure Female Implant Pulmonary Embolism business Follow-Up Studies |
| Zdroj: | Annals of Medicine. 41:216-223 |
| ISSN: | 1365-2060 0785-3890 |
| DOI: | 10.1080/07853890802498961 |
| Popis: | Prospective data on development of venous obstruction after electrode implantation are limited. We performed a prospective study on 150 patients undergoing first pacemaker implantation.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.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.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. |
| Databáze: | OpenAIRE |
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