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Published on: February 11, 2022
[Venous thrombosis as a clinical problem after pacemaker implantation--case report]
Jacek Lelakowski1, Jacek Majewski, Andrzej Zabek
1Uniwersytet Jagielloński, Collegium Medicum, Instytut Kardiologii, Klinika Elektrokardiologii, Krakowski Szpital Specjalistyczny im. Jana Pawła II. jlelakow@szpitaljp2.krakow.pl
Transvenous pacing can cause serious blood clots in 0.6-3.5% of patients. A case study shows subcutaneous heparin successfully treated axillary and subclavian vein thrombosis after pacemaker implantation.
Area of Science:
- Cardiology
- Vascular Medicine
- Medical Devices
Background:
- Transvenous pacing is a common treatment for bradyarrhythmias.
- Thrombotic and embolic complications occur in 0.6-3.5% of transvenous pacing cases.
- Pacemaker-associated thrombosis presents a significant clinical challenge.
Observation:
- A patient developed pacemaker-associated thrombosis.
- The thrombosis involved the axillary and subclavian veins.
Findings:
- Subcutaneous heparin was administered as the sole treatment.
- The heparin treatment was successful in resolving the thrombosis.
Implications:
- This case highlights a potential complication of transvenous pacing.
- Subcutaneous heparin may be an effective treatment for pacemaker-associated venous thrombosis.
- Further research into preventative strategies and treatment protocols for pacemaker-associated thrombosis is warranted.
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