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Chest, Vol 83, 274-275, Copyright © 1983 by American College of Chest Physicians

ARTICLES

Symptomatic upper extremity venous thrombosis associated with permanent transvenous pacemaker electrodes

MF Thompson, RM Arnold, DB Bogart, JB Earnest and RE Bailey

Symptomatic arm vein thrombosis secondary to permanent transvenous cardiac pacing electrodes is an uncommon occurrence with an incidence of 1 to 3 percent. Two patients with this problem are presented who were treated with streptokinase followed by conventional anticoagulation therapy with heparin and warfarin. Near total resolution of the thromboses was accomplished in both patients. In follow-up periods of nine and 20 months, the patients have remained asymptomatic. An aggressive approach to this problem may decrease the current high morbidity.




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Copyright © 1983 by the American College of Chest Physicians.