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Updated: Feb 1, 2026

Murine Model of Central Venous Stenosis using Aortocaval Fistula with an Outflow Stenosis
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Predictors of venous stenosis or occlusion following first transvenous cardiac device implantation: Prospective

Andrzej Cacko1, Eliza Kozyra-Pydyś2, Monika Gawałko2

  • 11 Department of Medical Informatics and Telemedicine, Medical University of Warsaw, Warsaw, Poland.

The Journal of Vascular Access
|December 13, 2018
PubMed

Insights

Venous stenosis or occlusion after cardiac device implantation is linked to longer procedures and complications. Interestingly, diabetes or prediabetes appears to reduce this risk.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Medical Devices

Background:

  • Venous stenosis or occlusion is a known complication of intracardiac devices.
  • Previous studies focused on device upgrades or lead extractions, not initial implantations.

Purpose of the Study:

  • To assess the prevalence of venous stenosis or occlusion after first transvenous cardiac device implantation.
  • To identify predictors of venous stenosis or occlusion in this patient population.

Main Methods:

  • Prospective observational study of 71 consecutive patients undergoing first transvenous cardiac device implantation.
  • Follow-up duration of 6 months post-operation.

Main Results:

  • The incidence of venous stenosis or occlusion within 6 months was 21.1%.
  • Predictors identified include prolonged procedure time (OR: 4.54) and perioperative complications (OR: 7.04).
  • Diabetes or prediabetes was associated with a reduced risk (OR: 0.17).

Conclusions:

  • Prolonged implantation time and perioperative complications increase the risk of venous stenosis or occlusion.
  • Diabetes and prediabetes are associated with a significantly reduced risk of venous stenosis or occlusion following initial cardiac device implantation.
Abstract

Keywords:
Cardiac implanted electronic devicesdiabetesprediabetesrisk factorsvein stenosis or occlusion

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