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Archives of cardiovascular diseases
Volume 106, n° 11
pages 624-626 (novembre 2013)
Doi : 10.1016/j.acvd.2012.01.013
Received : 23 November 2011 ;  accepted : 5 January 2012
Venous stenting as a treatment for pacemaker-induced superior vena cava syndrome
Mise en place d’un stent pour traiter un syndrome cave supérieur en relation avec un stimulateur cardiaque

Figure 1

Figure 1 : 

Chest X-ray with three leads in place: note that the old unipolar ventricular lead is completely severed.

Figure 2

Figure 2 : 

Superior venocavagram showed proximal stenosis.

Figure 3

Figure 3 : 

Digital subtraction angiogram of the superior vena cava showed its stenosis with drainage via the azygous system. Small arrows show central venous catheter; large arrows show contrast material through the azygous system.

Figure 4

Figure 4 : 

Insertion of a self-expanding Wallstent®, 6cm in length, deployed within the stenosis.

Figure 5

Figure 5 : 

Wallstent® in place (small arrows).

Figure 6

Figure 6 : 

Digital subtraction angiogram; once the stent was deployed, free flow of contrast was observed in the right chambers.

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