Central Venoplasty in Patients with Cardiac Implantable Electronic Devices
Objective The aim of this study was to assess the safety and effectiveness of the central venous angioplasty in patients with central venous occlusion and cardiac implantable electronic device (CIED) without lead extraction. Materials and Methods A retrospective study was used to evaluate...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
|
| Series: | The Arab Journal of Interventional Radiology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730121 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849408013735034880 |
|---|---|
| author | Mohammed Aljarie Mohammed Alahmari Mohammad Arabi |
| author_facet | Mohammed Aljarie Mohammed Alahmari Mohammad Arabi |
| author_sort | Mohammed Aljarie |
| collection | DOAJ |
| description | Objective The aim of this study was to assess the safety and effectiveness of the central venous angioplasty in patients with central venous occlusion and cardiac implantable electronic device (CIED) without lead extraction.
Materials and Methods A retrospective study was used to evaluate the effectiveness of 37 central venous angioplasty procedure for 15 patients with CIED without lead extraction.
Results Technical success was achieved in 97% (n = 36/37) and clinical success was achieved in 89% (33/37) of the procedures. One procedure failed recanalization of chronic total occlusion of the left subclavian vein, and the patient required fistula embolization due to severe arm swelling. Another procedure failed initially to recanalize long-segment occlusion involving the right subclavian vein/brachiocephalic vein and superior vena cava in a patient with a history of Hickman line and left-sided CIED. This was successfully recanalized and angioplastied on a subsequent session. No lead fracture or dislodgment was documented in any procedure. No procedure-related complication was documented within 2 weeks after the angioplasty. Six-month primary patency was achieved in 62% (23/37) of the procedures. Ten patients (66%) required an average of 1.4 reinterventions (range: 1–4 interventions) during the follow-up time with mean time to reintervention of 318 days (5–1,380 days). Two patients required early reinterventions within 10 days due to catheter dysfunction.
Conclusion Findings of this study support the existing evidence on the safety and effectiveness of balloon angioplasty without lead extraction. |
| format | Article |
| id | doaj-art-a598aef0b01c466591bb7279a52172dd |
| institution | Kabale University |
| issn | 2542-7075 2542-7083 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Arab Journal of Interventional Radiology |
| spelling | doaj-art-a598aef0b01c466591bb7279a52172dd2025-08-20T03:35:53ZengWolters Kluwer Medknow PublicationsThe Arab Journal of Interventional Radiology2542-70752542-70832021-01-0150103003410.1055/s-0041-1730121Central Venoplasty in Patients with Cardiac Implantable Electronic DevicesMohammed Aljarie0Mohammed Alahmari1Mohammad Arabi2Division of Vascular and Interventional Radiology, Department of Medical Imaging, Ministry of National Guard - Health Affairs; King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaDivision of Vascular and Interventional Radiology, Department of Medical Imaging, Ministry of National Guard - Health Affairs; King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaDivision of Vascular and Interventional Radiology, Department of Medical Imaging, Ministry of National Guard - Health Affairs; King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaObjective The aim of this study was to assess the safety and effectiveness of the central venous angioplasty in patients with central venous occlusion and cardiac implantable electronic device (CIED) without lead extraction. Materials and Methods A retrospective study was used to evaluate the effectiveness of 37 central venous angioplasty procedure for 15 patients with CIED without lead extraction. Results Technical success was achieved in 97% (n = 36/37) and clinical success was achieved in 89% (33/37) of the procedures. One procedure failed recanalization of chronic total occlusion of the left subclavian vein, and the patient required fistula embolization due to severe arm swelling. Another procedure failed initially to recanalize long-segment occlusion involving the right subclavian vein/brachiocephalic vein and superior vena cava in a patient with a history of Hickman line and left-sided CIED. This was successfully recanalized and angioplastied on a subsequent session. No lead fracture or dislodgment was documented in any procedure. No procedure-related complication was documented within 2 weeks after the angioplasty. Six-month primary patency was achieved in 62% (23/37) of the procedures. Ten patients (66%) required an average of 1.4 reinterventions (range: 1–4 interventions) during the follow-up time with mean time to reintervention of 318 days (5–1,380 days). Two patients required early reinterventions within 10 days due to catheter dysfunction. Conclusion Findings of this study support the existing evidence on the safety and effectiveness of balloon angioplasty without lead extraction.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730121balloon angioplastydialysisocclusionpacemakerstenosis |
| spellingShingle | Mohammed Aljarie Mohammed Alahmari Mohammad Arabi Central Venoplasty in Patients with Cardiac Implantable Electronic Devices The Arab Journal of Interventional Radiology balloon angioplasty dialysis occlusion pacemaker stenosis |
| title | Central Venoplasty in Patients with Cardiac Implantable Electronic Devices |
| title_full | Central Venoplasty in Patients with Cardiac Implantable Electronic Devices |
| title_fullStr | Central Venoplasty in Patients with Cardiac Implantable Electronic Devices |
| title_full_unstemmed | Central Venoplasty in Patients with Cardiac Implantable Electronic Devices |
| title_short | Central Venoplasty in Patients with Cardiac Implantable Electronic Devices |
| title_sort | central venoplasty in patients with cardiac implantable electronic devices |
| topic | balloon angioplasty dialysis occlusion pacemaker stenosis |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730121 |
| work_keys_str_mv | AT mohammedaljarie centralvenoplastyinpatientswithcardiacimplantableelectronicdevices AT mohammedalahmari centralvenoplastyinpatientswithcardiacimplantableelectronicdevices AT mohammadarabi centralvenoplastyinpatientswithcardiacimplantableelectronicdevices |