Complications following Placement or Extraction of Endovascular Pacemaker and Defibrillator Leads-- Cardiothoracic Surgical Intervention: Case Reports

Authors

  • Louis E. Samuels
  • Elena C. Holmes
  • Matthew P. Thomas
  • Luis Berrizbeitia

DOI:

https://doi.org/10.1532/HSF98.20033007

Abstract

Complications related to the insertion or removal of permanent pacemakers and implantable cardiac defibrillators are rare events. However, when adverse events occur, their severity may be life threatening. Rapid recognition of a problem followed by prompt consultation with a cardiothoracic surgeon is necessary to stabilize potentially catastrophic events. The immediate availability of surgical instruments as well as a formalized algorithm for management is necessary to control hemorrhagic situations. Four case reports illustrate these points.

References

Aggarwal RK, Connelly DT, Ray SG, Ball J, Charles RG. 1995. Early complications of permanent pacemaker implantation: no difference between dual and single chamber systems. Br Heart J 73:571-5.nByrd CL, Wilkoff BL, Love CJ, et al. 1999. Intravascular extraction of problematic or infected permanent pacemaker leads: 1994-1996. U.S. Extraction Database, MED Institute. Pacing Clin Electrophysiol 22:1348-57.nChauhan A, Grace AA, Newell SA, et al. 1994. Early complications after dual chamber versus single chamber pacemaker implantation. Pacing Clin Electrophysiol 17(pt 2):2012-5.nFort ML, Sharp JT. 1965. Perforation of the right ventricle by pacing catheter electrode: two cases of asymptomatic perforation with survival. Am J Cardiol 16:610-3.nGershon T, Kuruppu J, Olshaker J. 2000. Delayed cardiac tamponade after pacemaker insertion. J Emerg Med 18:355-9.nHirose T, Vera CA, Bailey CP, Edberg SH. 1968. Perforation of right ventricular wall by the endocardial pacing catheter. Dis Chest 54:510-3.nParsonnet V, Bernstein AD, Lindsay B. 1989. Pacemaker implantation complication rates: an analysis of some contributing factors. J Am Coll Cardiol 13:917-21.nPhibbs B, Marriott HJL. 1985. Complications of permanent transvenous pacing. N Engl J Med 22:1428-32.nSpittell PC, Hayes DL. 1992. Venous complications after insertion of a transvenous pacemaker. Mayo Clin Proc 67:258-65.nKay GN, Brinker JA, Kawanishi DT, et al. 1999. Risks of spontaneous injury and extraction of an active fixation pacemaker lead: report of the Accufix Multicenter Clinical Study and Worldwide Registry. Circulation 100:2344-52.nMartin RH, Mackenzie JW, Almond CH, Singh BK, Martt JM. 1967. Perforation of the heart by a permanent transvenous pacemaker. Ann Intern Med 67:822-5.nMeckstroth CV, Schoenfeld CD, Wardell GA. 1967. Myocardial perforation from a permanent endocardial electrode. J Thorac Cardiovasc Surg 54:16-21.nMeyer JA, Millar K. 1968. Perforation of the right ventricle by electrode catheters: a review and report of nine cases. Ann Surg 168:1048-60.nMoss AJ, Rivers R. 1966. Myocardial perforation by a permanent transvenous pacemaker. N Engl J Med 275:265-6.nMullen DC, Porter JM, Thompson HK, Silver D. 1968. Cardiac tamponade from ventricular perforation by a transvenous pacemaker. JAMA 203:142-4.nOhm OJ, Segadal L, Skagen DW. 1976. Complications with permanent endocardial electrode systems. Acta Med Scand Suppl 596:22-9.n

Published

2005-01-04

How to Cite

Samuels, L. E., Holmes, E. C., Thomas, M. P., & Berrizbeitia, L. (2005). Complications following Placement or Extraction of Endovascular Pacemaker and Defibrillator Leads-- Cardiothoracic Surgical Intervention: Case Reports. The Heart Surgery Forum, 7(3), E236-E239. https://doi.org/10.1532/HSF98.20033007

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