Skip to main content
Springer Nature Link
Log in

Incidence and predictors of subclavian vein obstruction following biventricular device implantation

  • Published:
Journal of Interventional Cardiac Electrophysiology Aims and scope Submit manuscript

Abstract

Introduction

The data about the incidence of subclavian venous (SCV) obstruction or thrombosis after biventricular device implantation is limited. Therefore, we aimed to assess the incidence and predictors of venous obstruction after biventricular device implantation with or without a defibrillator in patients with left ventricular systolic dysfunction and cardiac dyssynchrony.

Method and results

Eighty-six patients who had undergone biventricular device implantation were included in the study. Subclavian vein was patent in 61% of all participants. Among the patients with subclavian obstruction (n = 33), 8 had mild obstruction, 15 had severe obstruction, and 10 had total occlusion. The presence of additional implantable cardioverter defibrillator (ICD) and the number of leads that were used were found to be significant covariates of obstruction in subclavian vein after biventricular device implantation (p = 0.004 and p = 0.01, respectively). Atrial fibrillation after biventricular pacemaker and ICD implantation was significantly related with total occlusion (r = 0.3, p = 0.005 and r = 0.24, p = 0.003, respectively).

Conclusion

Patients who are candidates for biventricular device implantation are at increased risk for venous obstruction when compared with other pacemaker patients and this causes higher incidence of venous obstruction among these patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Explore related subjects

Discover the latest articles and news from researchers in related subjects, suggested using machine learning.

References

  1. Young, J. B., Abraham, W. T., Smith, A. L., Leon, A. R., Lieberman, R., Wilkoff, B., et al. (2003). Combined cardiac resynchronization and implantable cardioversion defibrillation in advanced chronic heart failure: the MIRACLE ICD Trial. Multicenter InSync ICD Randomized Clinical Evaluation (MIRACLE ICD) Trial Investigators. JAMA, 289(20), 2685–2694.

    Article  PubMed  Google Scholar 

  2. Bristow, M. R., Saxon, L. A., Boehmer, J., Krueger, S., Kass, D. A., De Marco, T., et al. (2004). Cardiac-resynchronization therapy with or without an implantable defibrillator in advanced chronic heart failure. Comparison of Medical Therapy, Pacing, and Defibrillation in Heart Failure (COMPANION) Investigators. The New England Journal of Medicine, 350(21), 2140–2150.

    Article  CAS  PubMed  Google Scholar 

  3. Martinez-Sellés, M., Bueno, H., Almendral, J., & Diaz-Castro, O. (2001). Pulmonary embolism after pacemaker implantation. Texas Heart Institute Journal, 28(4), 318–319.

    PubMed  Google Scholar 

  4. Rozmus, G., Daubert, J. P., Huang, D. T., Rosero, S., Hall, B., & Francis, C. (2005). Venous thrombosis and stenosis after implantation of pacemakers and defibrillators. Journal of Interventional Cardiac Electrophysiology, 13(1), 9–19.

    Article  PubMed  Google Scholar 

  5. Haghjoo, M., Nikoo, M. H., Fazelifar, A. F., Alizadeh, A., Emkanjoo, Z., & Sadr-Ameli, M. A. (2007). Predictors of venous obstruction following pacemaker or implantable cardioverter-defibrillator implantation: a contrast venographic study on 100 patients admitted for generator change, lead revision, or device upgrade. Europace, 9(5), 328–332.

    Article  PubMed  Google Scholar 

  6. Van Rooden, C. J., Molhoek, S. G., Rosendaal, F. R., Schalij, M. J., Meinders, A. E., & Huisman, M. V. (2004). Incidence and risk factors of early venous thrombosis associated with permanent pacemaker leads. Journal of Cardiovascular Electrophysiology, 15(11), 1258–1262.

    Article  PubMed  Google Scholar 

  7. Pauletti, M., Di Ricco, G., Solfanelli, S., Marini, C., Contini, C., & Giuntini, C. (1981). Venous obstruction in permanent pacemaker patients: an isotopic study. Pacing and Clinical Electrophysiology, 4(1), 36–42.

    Article  CAS  PubMed  Google Scholar 

  8. Korkeila, P., Nyman, K., Ylitalo, A., Koistinen, J., Karjalainen, P., Lund, J., et al. (2007). Venous obstruction after pacemaker implantation. Pacing and Clinical Electrophysiology, 30(2), 199–206.

    Article  PubMed  Google Scholar 

  9. Lickfett, L., Bitzen, A., Arepally, A., Nasir, K., Wolpert, C., Jeong, K. M., et al. (2004). Incidence of venous obstruction following insertion of an implantable cardioverter defibrillator. A study of systematic contrast venography on patients presenting for their first elective ICD generator replacement. Europace, 6(1), 25–31.

    Article  PubMed  Google Scholar 

  10. Bracke, F., Meijer, A., & Van Gelder, B. (2002). Extraction of pacemaker and implantable cardioverter defibrillator leads: patient and lead characteristics in relation to the requirement of extraction tools. Pacing and Clinical Electrophysiology, 25(7), 1037–1040.

    Article  PubMed  Google Scholar 

  11. Goto, Y., Abe, T., Sekine, S., & Sakurada, T. (1998). Long-term thrombosis after transvenous permanent pacemaker implantation. Pacing and Clinical Electrophysiology, 21(6), 1192–1195.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiology, Medicine Faculty, Duzce University, Duzce, Turkey

    Serkan Bulur, Mehmet Yazıcı & Hakan Özhan

  2. Department of Cardiology, Medicine Faculty, Kocaeli University, Kocaeli, Turkey

    Ahmet Vural, Gökhan Ertaş & Dilek Ural

  3. Duzce Universitesi, Düzce Tıp Fakültesi, 81620, Konuralp Düzce, Turkey

    Serkan Bulur

Authors
  1. Serkan Bulur
    View author publications

    You can also search for this author inPubMed Google Scholar

  2. Ahmet Vural
    View author publications

    You can also search for this author inPubMed Google Scholar

  3. Mehmet Yazıcı
    View author publications

    You can also search for this author inPubMed Google Scholar

  4. Gökhan Ertaş
    View author publications

    You can also search for this author inPubMed Google Scholar

  5. Hakan Özhan
    View author publications

    You can also search for this author inPubMed Google Scholar

  6. Dilek Ural
    View author publications

    You can also search for this author inPubMed Google Scholar

Corresponding author

Correspondence to Serkan Bulur.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bulur, S., Vural, A., Yazıcı, M. et al. Incidence and predictors of subclavian vein obstruction following biventricular device implantation. J Interv Card Electrophysiol 29, 199–202 (2010). https://doi.org/10.1007/s10840-010-9516-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10840-010-9516-2

Keywords