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Short-term thrombosis after transvenous permanent pacemaker insertion.

D Antonelli1, Y Turgeman, Z Kaveh

  • 1Department of Cardiology, Central Emek Hospital, Afula, Israel.

Pacing and Clinical Electrophysiology : PACE
|February 1, 1989
PubMed
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Venous thrombosis can occur after permanent transvenous pacemaker implantation, but is often asymptomatic. Follow-up venography shows thrombosis can develop and persist, though rarely causes symptoms.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Radiology

Background:

  • Permanent transvenous pacemaker implantation is a common procedure.
  • Venous thrombosis is a potential complication, but its incidence and clinical significance early after implantation require further investigation.

Purpose of the Study:

  • To prospectively assess the incidence and significance of venous thrombosis following permanent transvenous pacemaker implantation.

Main Methods:

  • Venographic studies were performed in 40 consecutive patients between 1 and 12 months post-implantation.
  • Abnormal venograms were analyzed for partial or total venous obstruction.
  • Clinical symptoms related to venous thrombosis were recorded.

Main Results:

Related Experiment Videos

  • 77% of venograms were normal at 1-6 months post-implantation.
  • 15% showed partial and 8% total venous obstruction.
  • Five patients developed partial thrombosis between 6-12 months, with only two experiencing mild, transient arm edema.

    • Conclusions:

    • Venous thrombosis is a frequent finding after pacemaker implantation but is often asymptomatic.
    • The clinical significance of early venous thrombosis appears low, with spontaneous resolution or mild symptoms.
    • No correlation was found between venogram abnormalities and insulation type, electrode polarity, or insertion site.