Complications of permanent transvenous cardiac pacing

Grögler, F. M.; Frank, Günter; Greven, G; Dragojevic, D; Oelert, H.; Leitz, K. H.; Dalichau, H.; Brinke, U.; Löhlein, D; Rogge, D.; Hetzer, Roland; Hennersdorf, G; Borst, H. G.

doi:10.1016/s0022-5223(19)40417-0

Cited by 78 publications

(7 citation statements)

References 27 publications

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“…Subcutaneous implantation of CIED is a risk factor for skin complications in the implantation pockets, especially, in thin patients [3, 4], whereas subpectoral implantation of devices presents a lower risk [5]. Our patient’s BMI was extremely low at 14, and her subcutaneous tissue was very thin at 2.6 mm; therefore, subpectoral implantation was preferred.…”

Section: Discussionmentioning

confidence: 99%

Subpectoral pacemaker implantation under tumescent local analgesia

Kawatani

Tajima

Takahashi

et al. 2019

Journal of Surgical Case Reports

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Tumescent local analgesia (TLA) is an anesthetic technique used for inducing local analgesia over large areas and is rarely used in cardiothoracic surgery. An 83-year-old, extremely thin woman was hospitalized with sick sinus syndrome, requiring pacemaker implantation. We chose a subpectoral mode of implantation to prevent skin complications. General anesthesia was deemed risky due to the history of chronic pulmonary disease; therefore, the operation was successfully performed under TLA. Moreover, TLA helped introduce a subpectoral pocket for implanting the pacemaker with minimal trauma and bleeding. The analgesia was sufficient, with minimal postoperative pain, and required no additional sedatives and analgesics. The patient was discharged without any complications.

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Section: Discussionmentioning

confidence: 99%

Subpectoral pacemaker implantation under tumescent local analgesia

Kawatani

Tajima

Takahashi

et al. 2019

Journal of Surgical Case Reports

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“…12 On the long-term following implantation, venous occlusion can be diagnosed in the case of symptomatic swelling of the arm and chest veins. The incidence of symptomatic occlusion is reported to be low, estimated between 0.22% and 5.5% of all implants, [13][14][15][16][17] with an average of 0.57% of all reported cases. However, the reported incidence of asymptomatic venous thrombosis varies between 6% and 48%, which is dependent on the selection of patients, the time frame after implant of new leads, and the technique used for the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Acute Subclavian or Axillary Vein Occlusion During Biventricular Pacemaker Implantation

M.D.

C.J.

2006

Pacing Clinical Electrophis

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During biventricular pacemaker implantation, multiple punctures of the subclavian vein were performed and venous occlusion was apparent during the procedure, which in one case was stopped before lead insertion and in the other patient new access has to be forced through the occlusion by removing one of the already implanted leads. For implanting physicians, it is important to know that acute venous occlusion may occur during lead implantation.

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“…The infected electrodes may cause the formation of rather large vegetations, which in turn may spread to right atrium, right ventricle, tricuspid valve, and be the source of pulmonary emboli (as in our patient). "'"'^ ''T be main clinical clues of rigbt-sided infective endocarditis associated witb permanent PACEMAKER-RELATED ENDOCARDITIS transvenous pacemakers are: (1) relapsing septic episodes; [2] pleuro-pulmonary symptoms probably due to emboli, even if they are minor; (3) right heart involvement and interference with tricuspid valve motion leading to valve regurgitation.^"'^' Endocarditis-related tricuspid valve stenosis is a quite exceptional event. Only two cases of pacemaker lead-induced tricuspid stenosis have been actually reported.^^'^^ Our case is the only one, as far as we know, in which stenosis is due to infected vegetations.…”

Section: Discussionmentioning

confidence: 99%

Right‐sided Infective Endocarditis with Acquired Tricuspid Valve Stenosis Associated with Transvenous Pacemaker: A Case Report

Enia

Mauro

Meschisi

et al. 1991

Pacing Clinical Electrophis

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Five years prior to presentation, a 29-year-old woman received a transvenous pacemaker (DDD) for sick sinus syndrome and nodo-hisian pathology. After pacemaker insertion, she complained of recurrent febrile episodes. Her pacemaker related endocarditis was quite unusual for the infecting organism (a micrococcus) and for an acquired tricuspid valve stenosis. The suspected cause was confirmed at surgery.

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Complications of permanent transvenous cardiac pacing

Cited by 78 publications

References 27 publications

Subpectoral pacemaker implantation under tumescent local analgesia

Subpectoral pacemaker implantation under tumescent local analgesia

Acute Subclavian or Axillary Vein Occlusion During Biventricular Pacemaker Implantation

Right‐sided Infective Endocarditis with Acquired Tricuspid Valve Stenosis Associated with Transvenous Pacemaker: A Case Report

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