%0 Journal Article %T Complete nasal obstruction secondary to pacemaker insertion %A E Nilssen %A J Hilton %A SM Hayes %A T Lloyd Jones %A VB Wreesmann %J Archive of "Annals of The Royal College of Surgeons of England". %D 2018 %R 10.1308/rcsann.2018.0055 %X We present the case of a 71-year-old man who presented to the ear, nose and throat department with complete nasal obstruction and facial plethora on bending forward. Clinical examination was positive for Pemberton¡¯s sign. Computed tomography and ultrasonography demonstrated bilateral brachiocephalic vein thrombosis secondary to pacemaker insertion. This case highlights a novel complication of pacemaker insertion %K Nasal obstruction %K Brachiocephalic vein thrombosis %K Pacemaker %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956605/