Frequency of superior vena cava syndrome following radiofrequency modification of the sinus node and its management
Abstract
In a series of 35 consecutive patients, the presence of a permanent pacemaker appears to be a strong risk factor for developing superior vena cava syndrome after radiofrequency modification of the sinus node. Treatment of this complication with balloon venoplasty is as effective as surgical repair.
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Complications of sinus node modification may occur in up to 14% and include cardiac tamponade, SVC syndrome, diaphragmatic paralysis due to phrenic nerve palsy, and sinus node dysfunction requiring permanent pacing.
“Complications of sinus node modification may occur in up to 14% of cases, and include cardiac tamponade, SVC syndrome, diaphragmatic paralysis due to phrenic nerve palsy, and sinus node dysfunction with the need for permanent pacing.88 -90”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [90]
Minimally invasive thoracoscopic surgery with bipolar radiofrequency clamp or cryoablation, isolation of the superior right atrium, and inferior vena cava isolation are alternative approaches.
“Minimally invasive thoracoscopic surgery with use of bipolar radiofrequency clamp or cryoablation, 75,205,215–219, isolation of the superior right atrium from the rest of the atrium217,218,220, and inferior vena cava isolation 205,217 are alternative approaches.”
From Sinus Tachycardia: a Multidisciplinary Expert Focused Review (2022) · cites this paper as [220]
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References 10 · Cited by 25
- Authors
- Leonelli, F. M., Pisanó, E., Requarth, J. A., Potenza, D., Tomassoni, G., O’Connor, W., & Natale, A.
- Affiliations
- University of Kentucky (US)
- Charleston Area Medical Center (US)
- Casa Sollievo della Sofferenza (IT)
- Cleveland Clinic (US)
- Corresponding author
- Leonelli, Fabio M
- Venue
- The American Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2000-03
- Volume
- 85
- Issue
- 6
- Pages
- 771-774
- ISSN
- 0002-9149 (ISSN-L)
- OpenAlex
- W2050385398
- Cited by
- 25
- References
- 10
- Citations by year
- 2022: 1 · 2019: 1 · 2016: 3 · 2015: 2 · 2013: 1 · 2012: 1
- FWCI
- 0.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- superior vena cava syndrome, radiofrequency catheter ablation, inappropriate sinus tachycardia, late complications, atrial flutter, atrial fibrillation
- MeSH terms
- Adult, Catheterization, Electrodes, Implanted, Female, Humans, Male, Pacemaker, Artificial, Sinoatrial Node, Superior Vena Cava Syndrome, Tachycardia, Sinus, Time Factors, Catheter Ablation
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