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Paclitaxel Coated Balloon Fibroplasty: A more effective treatment of chronic symptomatic lead-related venous obstruction?
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  • Omar Yacob,
  • Vijaywant Brar,
  • Arooje Towheed,
  • Cyrus Hadadi,
  • Susan O'Donoghue,
  • Seth Worley
Omar Yacob
MedStar Washington Hospital Center
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Vijaywant Brar
MedStar Washington Hospital Center
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Arooje Towheed
MedStar Washington Hospital Center
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Cyrus Hadadi
MedStar Washington Hospital Center
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Susan O'Donoghue
MedStar Washington Hospital Center
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Seth Worley
MedStar Washington Hospital Center
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Abstract

Subclavian venous obstruction is a common complication after cardiac device placement. Patients typically remain asymptomatic but at times may present with acute symptoms due to thrombus formation immediately after device placement or years later, due to chronic obstruction, with pain and swelling. Various techniques have been attempted to resolve symptoms in patients with chronic lead-related subclavian obstruction but are associated with a high recurrence of restenosis. Drug coated balloons (DCB) have been used subsequently after pre-dilation with high-pressure balloons, of the stenosed region, in patients with arteriovenous fistula obstruction, and have shown promising results. We discuss the utilization of DCB in our patient with chronic subclavian obstruction due to a permanent pacemaker lead.

Peer review status:ACCEPTED

22 Nov 2020Submitted to Journal of Cardiovascular Electrophysiology
26 Nov 2020Submission Checks Completed
26 Nov 2020Assigned to Editor
29 Nov 2020Reviewer(s) Assigned
24 Dec 2020Review(s) Completed, Editorial Evaluation Pending
26 Dec 2020Editorial Decision: Revise Minor
03 Jan 20211st Revision Received
06 Jan 2021Submission Checks Completed
06 Jan 2021Assigned to Editor
06 Jan 2021Reviewer(s) Assigned
12 Jan 2021Review(s) Completed, Editorial Evaluation Pending
13 Jan 2021Editorial Decision: Accept