{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T13:46:13Z","timestamp":1780667173513,"version":"3.54.1"},"reference-count":34,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,7,17]],"date-time":"2014-07-17T00:00:00Z","timestamp":1405555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>We aimed to determine the long\u2010term outcomes of percutaneous lead extraction and stent placement in patients with pacemaker\u2010induced superior vena cava (SVC) syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p><jats:italic>The study retrospectively screened patients who underwent lead extraction followed by central vein stent implantation at Mayo Clinic (Rochester, MN, USA), from January 2005 to December 2012, to identify the patients with pacemaker\u2010induced SVC syndrome. Demographic, clinical, and follow\u2010up characteristics of those patients were collected from electronic medical records<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:italic>Six cases were identified. The mean (standard deviation) age was 56 (15) years (male, 67%). All patients had permanent dual\u2010chamber pacemakers, with a mean 11\u2010year history of pacemaker placement. The entire device system was explanted in five patients; one patient had a 21\u2010year\u2010old pacemaker lead that could not be removed. Eight stents were implanted in six patients: five patients had one stent, one patient had three. A new pacemaker system was reimplanted through the stented vein in five patients. Technical success was achieved in all patients, without any complication. Symptoms rapidly resolved in all patients after stent deployment. The mean follow\u2010up duration was 48 months (range, 10\u2013100 months). Three patients remained symptom free. Reintervention with percutaneous balloon venoplasty was successful in three patients with symptom recurrence<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:italic>Percutaneous stent implantation after lead removal followed by reimplantation of leads is a feasible alternative therapy for pacemaker\u2010induced SVC syndrome, although some cases may require repeat intervention<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.12455","type":"journal-article","created":{"date-parts":[[2014,7,17]],"date-time":"2014-07-17T06:25:36Z","timestamp":1405578336000},"page":"1470-1476","source":"Crossref","is-referenced-by-count":37,"title":["Outcome and Management of Pacemaker\u2010Induced Superior Vena Cava Syndrome"],"prefix":"10.1111","volume":"37","author":[{"given":"HAI\u2010XIA","family":"FU","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Diseases Mayo Clinic  Rochester Minnesota"},{"name":"Department of Cardiovascular Diseases Henan Provincial People's Hospital  Henan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"XIN\u2010MIAO","family":"HUANG","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Mayo Clinic  Rochester Minnesota"},{"name":"Department of Cardiovascular Diseases Changhai Hospital Second Military Medical University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LI","family":"ZHONG","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Mayo Clinic  Rochester Minnesota"},{"name":"Department of Cardiology Southwest Hospital Third Military Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MICHAEL J.","family":"OSBORN","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Mayo Clinic  Rochester 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