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Ann Thorac Surg 1976;22:166-170
© 1976 The Society of Thoracic Surgeons
From the Cardiac Surgical Service, St. Thomas Hospital, and the Department of Thoracic Surgery, Vanderbilt University Hospital, Nashville, TN.
* Address reprint requests to Dr. Stoney, Suite 501, St. Thomas Medical Building, 4230 Harding Rd, Nashville, TN 37205.
Long-term cardiac pacing with permanent transvenous electrodes has achieved wide acceptance with only occasional reports of venous obstruction and edema. To determine the incidence of venous abnormalities associated with transvenous electrodes, 34 venograms were obtained in 32 patients paced 18 months or longer. Eleven venograms demonstrated severe obstruction with collateral circulation communicating with the opposite cervical and innominate venous channels; 7 of these showed total occlusion. Seven venograms revealed no obstruction. The remaining 16 venograms showed venous stenosis without collaterals.
It is concluded that venous abnormalities associated with permanent transvenous pacing occur commonly but are not usually associated with arm or facial edema.
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