Perforation of the Right Ventricle by Electrode Catheters

Meyer, John W.; Millar, Kay

doi:10.1097/00000658-196812000-00016

Cited by 56 publications

(15 citation statements)

References 15 publications

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“…This displacement may have the following consequences (in order of severity): a) migration of the catheter into a jugular vein, or advancement of the catheter tip to the wall of the subclavian vein, brachiocephalic trunk or superior vena cava (all these situations may give false readings of central venous pressure); b) displacement of the tip of a Swan-Ganz catheter from pulmonary artery into a wedge position and vice versa; c) occurrence of ventricular irritability if a central venous catheter is displaced from the superior vena cava or right atrium into the right ventricle; when such a situation arises, ventricular irritability may be missinterpreted and a mechanical causative factor may be treated pharmacologically; d) chronic irritation of the wall of the central vein or heart cavities resulting in thrombosis or fatal endocarditis [22]; e) perforation of a central vein or of the right atrium by the catheter tip, followed by haemomediastinum and death [2,8,10,12,13,15,21,23], or perforation of the right ventricle by an electrode-catheter inserted for cardiac pacing [16].…”

Section: Discussionmentioning

confidence: 99%

Displacement of catheters inserted through internal jugular veins with neck flexion and extension

1980

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Displacement of central venous catheters inserted through internal jugular veins in adult man was estimated on chest x-rays in six patients and measured in six corpses. The downward displacement of the catheter tips with maximum neck flexion varied between 1.0 and 2.0 cm in patients, and between 1.0 and 2.5 cm in corpses. The upward displacement with maximum neck extension varied between 0.5 to 1.0 cm in patients and 0.5 to 1.5 cm in corpses. The total displacement varied between 1.5 to 3.0 cm in patients, and 1.5 to 4.0 cm in corpses. The geater displacement in corpses might be explained by detachment of sternocleidomastoid muscles, and by resection of the sternum and anterior ribs, performed for access to the heart and superior vena cava. There was no apparent correlation between the side and site of the vein puncture, body length, sternocleidomastoid length, distances from the punction sites to suprasternal notch, and values of the displacements of the catheter tips in any group. To avoid rhythm disturbances and perforation of the heart (possible complications of the catheter displacement), the necessity of locating central venous catheter tips 3.0 to 4.0 cm above the superior vena cava-right atrial junction, and firm fixation of the catheter is stressed.

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Section: Discussionmentioning

confidence: 99%

Displacement of catheters inserted through internal jugular veins with neck flexion and extension

1980

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“…cerebrovascular accident) [14]. LV epicardial pacing may result when the electrode perforates through the RV apex migrating and remaining along the LV epicardial surface [15].…”

Section: Migration To the LV Cavitymentioning

confidence: 99%

Mechanism and Management of Pacing Lead Related Cardiac Perforation

Kumar¹,

Yassin²,

Esan³

et al. 2012

Current Issues and Recent Advances in Pacemaker Therapy

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“…Perforation of the right ventricle can occur and, other than requiring withdrawal of the pacemaker wire, is usually of no clinical consequence [67,68].…”

Section: Endocardial Pacemakersmentioning

confidence: 99%

“…Pericardial tamponade and constrictive pericarditis are rare but have been reported as complications secondary to perforation [69,70]. Perforation often results in failure to pace and can also result in pacing of the left diaphragm [68,71,72]. Perforation has been reported to occur in 1.5 to 9% of patients.…”

Section: Endocardial Pacemakersmentioning

confidence: 99%

Iatrogenic Cardiovascular Disease Secondary to Diagnostic and Therapeutic Procedures

Gold

Rios²

1987

J Intensive Care Med

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Gold RL, Rios JC. latrogenic cardiovascular disease secondary to diagnostic and therapeutic procedures. J Intensive Care Med 1987;2:49-60.The number of diagnostic and therapeutic procedures performed in cardiology continues to grow. These procedures are generally considered safe or of minimal risk to the patient. However, it is important to remember that significant complications may occur, and in each patient the risk: benefit ratio must be carefully weighed.In this review, the complications documented in the medical literature resulting from the use of cardiologic interventions and procedures are discussed. A thorough knowledge of these complications and their precipitating factors can help minimize the risk to the patient.

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Perforation of the Right Ventricle by Electrode Catheters

Cited by 56 publications

References 15 publications

Displacement of catheters inserted through internal jugular veins with neck flexion and extension

Displacement of catheters inserted through internal jugular veins with neck flexion and extension

Mechanism and Management of Pacing Lead Related Cardiac Perforation

Iatrogenic Cardiovascular Disease Secondary to Diagnostic and Therapeutic Procedures

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