Thrombus Formation on a Transvenous Pacemaker Electrode

Sidd, James J.; Stellar, Lawrence I.; Gryska, Paul F.; O'Dea, Arthur E.

doi:10.1056/nejm196904172801609

Cited by 21 publications

(3 citation statements)

References 6 publications

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“…This was felt in Furman's case to relate to incorrect positioning of the electrodes. A similar report of catheter malposition in association with thrombus from Sidd (1969), described the electrode looping in the main pulmonary artery where a large thrombus had formed. Right atrial thrombi have been large enough to cause right heart inflow obstruction with subsequent death?…”

Section: Discussionmentioning

confidence: 81%

Radiology of Cardiac Pacemakers and their Complications with Three Cases of Superior Vena Caval Obstruction

Branson

1978

Australas Radiol

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Summary Benefits of the radiographic assessment of patients with cardiac pacemakers in normal and abnormal situations are outlined. Three patients with transvenous pacemakers who developed superior vena caval obstruction are described. These were all proven by angiography and a satisfactory outcome was obtained with anticoagulants and the development of a collateral circulation. With the frequent use of cardiac pacemakers, an awareness of such a complication should lead to its early diagnosis and treatment.

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Section: Discussionmentioning

confidence: 81%

Radiology of Cardiac Pacemakers and their Complications with Three Cases of Superior Vena Caval Obstruction

Branson

1978

Australas Radiol

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“…Several cases ofthrombosis around pacing electrodes have been reported (Lagergren et al, 1966;Youmans et al, 1967;Hager et al, 1968;Prozan et al, 1968;London et al, 1969;Reynolds et al, 1969;Robboy et al, 1969;Sidd et al, 1969;Griepp et al, 1970;Kaulbach and Krukonis, 1970;Wertheimer et al, 1973). To our knowledge only one case of superior vena cava syndrome in a pacemaker patient has been described (Wertheimer et al, 1973).…”

Section: Discussionmentioning

confidence: 96%

Superior vena cava stenosis at site of intersection of two pacing electrodes.

Pauletti¹,

Pingitore²,

Contini³

1979

Heart

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“…Less frequent complications are adhesive endocarditis, myocardial perforation and dissection, and the formation of thrombi in the right atrium and ventricle with pulmonary embolism (2, 3, 4, 5,6,9,10). Electrode fracture, with displacement of the catheter to the right atrium and ventricle, is rare (1,8 ) .…”

mentioning

confidence: 99%

Displacement and Fracture of Pacemaker Electrode During Physical Exertion

Ohm

1972

Journal of Internal Medicine

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Three patients with electrode failure arising during permanent pacemaker treatment for AV block are discussed. The physical capacity of all three was improved after pacemaker implantation. In patients 1 and 3 electrode displacement took place during apple picking and lobster fishing. In patient 2 pacemaker implantation was carried out in connection with the insertion of an aortic ball valve prosthesis. He has later been in functional class I. Electrode fracture took place while he was carrying a 50‐kg flour sack, the central fragment of the electrode being displaced to the right ventricle, where it has remained coiled up for 2 years, the battery and peripheral fragment of the electrode having been removed. Patients with good cardiac function after pacemaker implantation should therefore be warned against vigorous physical exertion which may directly affect the pacemaker system.

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Thrombus Formation on a Transvenous Pacemaker Electrode

Cited by 21 publications

References 6 publications

Radiology of Cardiac Pacemakers and their Complications with Three Cases of Superior Vena Caval Obstruction

Radiology of Cardiac Pacemakers and their Complications with Three Cases of Superior Vena Caval Obstruction

Superior vena cava stenosis at site of intersection of two pacing electrodes.

Displacement and Fracture of Pacemaker Electrode During Physical Exertion

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