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• W3099266615 abstract "There is no consensus regarding the optimal management of cardiovascular implantable electronic device (CIED)-related superior vena cava (SVC) syndrome.We report our experience with transvenous lead extractions (TLEs) in the setting of symptomatic CIED-related SVC syndrome.We reviewed all TLEs performed at a high-volume center over a 14-year period and identified patients in which TLE was performed for symptomatic SVC syndrome. Patient characteristics, extraction details, percutaneous management of SVC occlusions, and clinical follow up data were analyzed.Over a 14-year period, more than 1600 TLEs were performed. Of these, 16 patients underwent TLE for symptomatic SVC syndrome. The mean age was 53.1 ± 12.8 years, and 9 (56.3%) were men. Thirty-seven leads, with a mean dwell time of 5.8 years (range 2-12 years), were extracted. After extraction, 6 patients (37.5%) received an SVC stent. Balloon angioplasty was performed before stenting in 5 cases (31.3%). There was 1 major complication (6.3%) due to an SVC tear that was managed surgically with a favorable outcome. Eleven patients underwent reimplantation of a CIED. Over a median follow-up of 5.5 years (interquartile range 2.0-8.5 years), 12 patients (75%) remained free of symptoms.Combining TLE with the percutaneous treatment of symptomatic SVC syndrome is a safe and viable treatment strategy." @default.
• W3099266615 created "2020-11-23" @default.
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• W3099266615 date "2021-03-01" @default.
• W3099266615 modified "2023-10-02" @default.
• W3099266615 title "Percutaneous management of superior vena cava syndrome in patients with cardiovascular implantable electronic devices" @default.
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• W3099266615 doi "https://doi.org/10.1016/j.hrthm.2020.11.012" @default.
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