Venous Obstruction in Cardiac Rhythm Device Therapy

Publication Date

2018

Journal Title

Curr Treat Options Cardiovasc Med

Abstract

© 2018, Springer Science+Business Media, LLC, part of Springer Nature. Purpose of review: A variety of complex vascular pathologies arise following the implantation of electronic cardiac devices. Pacemaker and defibrillator lead insertion may cause proximal venous obstruction, resulting in symptomatic venous congestion and the compromise of potential future access sites for cardiac rhythm lead management. Recent findings: Various innovative techniques to recanalize the vein and establish alternate venous access have been pioneered over the past few years. Summary: A collaborative team of electrophysiologists and vascular specialists strategically integrate the patient’s vascular disease into the planning of electrophysiology procedures. When vascular complications occur after device implantation, the same team effectively manages both the resulting vascular sequelae and related cardiac rhythm device challenges. This review will outline the various vascular challenges related to device therapy and offer an effective strategy for their management.

Volume Number

20

Issue Number

8

Pages

64

Document Type

Article

Status

Faculty, Northwell Resident

Facility

School of Medicine; Northwell Health

Primary Department

Cardiology

PMID

29995225

DOI

10.1007/s11936-018-0664-5

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