open access

Vol 27, No 4 (2021)
Case report
Published online: 2022-01-28
Get Citation

Intermittent positional axillary vein compression – a rare complication of CIED implantation

DOI: 10.5603/AA.2021.0012
·
Acta Angiologica 2021;27(4):144-146.
Affiliations
  1. Department of Cardiology, Central University Hospital in Warsaw,, Banacha St. 1A, 02-097 Warsaw Warsaw, Poland
  2. 1st Department of Cardiology, Medical University of Warsaw, Banacha St 1A, 02-097 Warsaw, Poland

open access

Vol 27, No 4 (2021)
-- For assignment --
Published online: 2022-01-28

Abstract

An 81-year-old male with an implanted DDD pacemaker reported fluctuating edema accompanied by pain and paresthesia affecting the hand and arm on the side the pacemaker had been implanted. These symptoms, which developed several weeks after the procedure, were more pronounced in the morning and resolved during the day. Venography showed axillary vein compression, whose severity varied with different arm positions. Changing the location of the pacemaker pocket restored normal venous blood flow at the site of compression and relieved the patient’s symptoms, which was confirmed during follow-up.

Abstract

An 81-year-old male with an implanted DDD pacemaker reported fluctuating edema accompanied by pain and paresthesia affecting the hand and arm on the side the pacemaker had been implanted. These symptoms, which developed several weeks after the procedure, were more pronounced in the morning and resolved during the day. Venography showed axillary vein compression, whose severity varied with different arm positions. Changing the location of the pacemaker pocket restored normal venous blood flow at the site of compression and relieved the patient’s symptoms, which was confirmed during follow-up.

Get Citation

Keywords

pacemaker; venography; axillary vein; venous compression; occlusion

About this article
Title

Intermittent positional axillary vein compression – a rare complication of CIED implantation

Journal

Acta Angiologica

Issue

Vol 27, No 4 (2021)

Article type

Case report

Pages

144-146

Published online

2022-01-28

Page views

7200

Article views/downloads

87

DOI

10.5603/AA.2021.0012

Bibliographic record

Acta Angiologica 2021;27(4):144-146.

Keywords

pacemaker
venography
axillary vein
venous compression
occlusion

References (6)
  1. Riezebos RK, Schroeder-Tanka J, de Voogt WG. Occlusion of the proximal subclavian vein complicating pacemaker lead implantation. Europace. 2006; 8(1): 42–43.
  2. Sharma H, Tiwari A. Recurrent Upper Extremity Thrombosis Associated with Overactivity: A Case of Delayed Diagnosis of Paget-Schroetter Syndrome. Case Rep Vasc Med. 2017; 2017: 8764903.
  3. Sanders RJ, Annest SJ. Pectoralis Minor Syndrome: Subclavicular Brachial Plexus Compression. Diagnostics (Basel). 2017; 7(3).
  4. Rizniotopoulou P, Apostolou CE, Fountoukis TN, et al. Pectoralis minor syndrome: Report of two cases and review. Hellenic Journal of Surgery. 2017; 89(3-4): 149–152.
  5. Yang HJ, Gil YC, Jin JD, et al. Novel findings of the anatomy and variations of the axillary vein and its tributaries. Clin Anat. 2012; 25(7): 893–902.
  6. Abdallah M, Wehbe MR, Elias E, et al. Pectoralis Minor Syndrome: Case Presentation and Review of the Literature. Case Rep Surg. 2016; 2016: 8456064.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl