Paclitaxel coated balloon fibroplasty: A more effective treatment for chronic symptomatic lead/catheter related central venous obstruction?

Central venous occlusion is a common complication following transvenous lead or therapeutic catheter placement that can present either acutely or chronically. KEY TEACHING POINTS Lead related chronic fibrotic venous obstruction can occasionally be highly symptomatic. Fibroplasty (AKA venoplasty) is...

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Bibliographic Details
Published in:Journal of cardiovascular electrophysiology 2021-03, Vol.32 (3), p.867-870
Main Authors: Yacob, Omar, Worley, Seth, Brar, Vijaywant, Towheed, Arooge, Hadadi, Cyrus, O'Donoghue, Susan
Format: Article
Language:English
Subjects:
Balloon catheters
balloon fibroplasty
Catheters
Dialysis
Occlusion
Paclitaxel
paclitaxel coated balloon
Restenosis
subclavian venous occlusion
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Summary:Central venous occlusion is a common complication following transvenous lead or therapeutic catheter placement that can present either acutely or chronically. KEY TEACHING POINTS Lead related chronic fibrotic venous obstruction can occasionally be highly symptomatic. Fibroplasty (AKA venoplasty) is a safe option that provides immediate relief, however, symptoms frequently recur presumably due to restenosis. Drug coated balloons reduce restenosis in dialysis fistulas and may improve the long‐term results in symptomatic patients with lead/catheter related chronic venous obstruction.
ISSN:1045-3873
1540-8167
DOI:10.1111/jce.14918