Automatic implantable cardiac defibrillator implantation may precipitate effort-induced thrombosis in young athletes: a case report and literature review

Abhishek Wadhawan; Fabian M Laage Gaupp; Akhilesh K Sista

doi:10.1016/j.clinimag.2014.03.014

Automatic implantable cardiac defibrillator implantation may precipitate effort-induced thrombosis in young athletes: a case report and literature review

Clin Imaging. 2014 Jul-Aug;38(4):510-514. doi: 10.1016/j.clinimag.2014.03.014. Epub 2014 Mar 31.

Authors

Abhishek Wadhawan¹, Fabian M Laage Gaupp², Akhilesh K Sista³

Affiliations

¹ Government Medical College, Amritsar, India; Department of Radiology, Weill Cornell Medical College.
² Department of Radiology, Weill Cornell Medical College; Ludwig-Maximilians-University Munich, Germany.
³ Division of Interventional Radiology, Weill Cornell Medical College. Electronic address: aks9010@med.cornell.edu.

PMID: 24794202
DOI: 10.1016/j.clinimag.2014.03.014

Abstract

Upper extremity deep vein thrombosis (DVT) is a common finding after implantation of an automatic implantable cardiac defrillator (AICD). We describe the case of a patient who developed a left upper extremity DVT 4.5 months after implantation of an AICD and was found to have a lead-induced stenosis with possible underlying Paget-Schroetter syndrome (PSS) in the midbrachiocephalic vein on venography. While his symptoms resolved after the combination of pharmacomechanical thrombolysis, angioplasty, and anticoagulation, his long-term management is complicated by the presence of both PSS and lead-induced stenosis. Herein, we discuss his presentation, treatment, and future management options.

Keywords: Automatic implantable cardiac defibrillator; Deep vein thrombosis; Lead-induced stenosis; Paget–Schroetter syndrome.

Publication types

Case Reports
Review

MeSH terms

Athletes*
Automation
Constriction, Pathologic / physiopathology
Defibrillators / adverse effects*
Humans
Male
Phlebography*
Subclavian Vein / pathology
Upper Extremity / physiopathology
Upper Extremity Deep Vein Thrombosis / diagnosis*
Upper Extremity Deep Vein Thrombosis / etiology
Upper Extremity Deep Vein Thrombosis / pathology
Young Adult