Are Endovascular Interventions for Central Vein Obstructions due to Cardiac Implanted Electronic Devices Effective?
| Autor: | Stephanie Volpi, Salah D. Qanadli, Amine Chouiter, Charalampos Sotiriadis, Pauline Douek, Olivier Muller |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
CIED angioplasty central venous occlusion lead exchange stenting medicine.medical_treatment lcsh:Surgery 030204 cardiovascular system & hematology Balloon Asymptomatic 03 medical and health sciences 0302 clinical medicine Restenosis Angioplasty medicine 030212 general & internal medicine Vein Original Research business.industry Cardiac implanted lcsh:RD1-811 medicine.disease Venous Obstruction Surgery medicine.anatomical_structure Endovascular interventions medicine.symptom business |
| Zdroj: | Frontiers in Surgery, Vol 5 (2018) Frontiers in surgery, vol. 5, pp. 49 Frontiers in Surgery |
| DOI: | 10.3389/fsurg.2018.00049/full |
| Popis: | Objective: One of the late-onset complications of cardiac implanted electronic devices (CIEDs) is central venous obstruction (CVO). The aim of this study was to investigate the feasibility, efficacy, and safety of endovascular treatment of CIED-related CVOs. Methods: Eighteen patients who underwent endovascular management of their device-related CVO were reviewed. Patients were classified into three groups: Group I patients were asymptomatic and needed lead replacement; Group II patients presented with symptomatic CVO without lead dysfunction, and Group III patients were referred with both symptomatic CVO and lead dysfunction. A treatment strategy involved recanalization and balloon angioplasty for Group I and angioplasty/stents for Groups II and III. Technical success, clinical success, complications, and long-term follow-up were assessed. Results: Thirteen patients were in Group I, four in Group II, and one in Group III. Technical and clinical success was achieved in 17 patients (94%). No major complications were reported. Restenosis was observed in two patients at 40 and 42 weeks of follow-up, and these patients were successfully treated with angioplasty. Conclusion: Endovascular management of CVO due to CIED is a safe and efficient technique. Plain balloon angioplasty is sufficient for lead replacement purposes, while stenting is needed for symptomatic CVO to achieve good long-term patency. |
| Databáze: | OpenAIRE |
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