A combination of rare complications 3 years after a dual-chamber pacemaker implantation

Schreiber, Tobias; Tscholl, Verena; Niehues, Stefan M.; Nagel, Patrick; Starck, Christoph; Landmesser, Ulf; Huemer, Martin; Attanasio, Philipp

doi:10.1007/s00392-018-1375-3

Cited by 3 publications

(8 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additional pericardiocentesis or surgical repair of the right atrium was unnecessary in all four cases. 4,6,7,13 This suggests that pericardial tissues already covered the defect created by the extracted lead. Only one patient presented with unstable hemodynamics and cardiac tamponade, necessitating surgical right atrium repair.…”

Section: Discussionmentioning

confidence: 93%

“…Most of the previously reported cases of atrial lead perforation associated with pneumopericardium occurred within a few days of device implantation (Table 1). Only three cases where pneumopericardium occurred more than 1 month after device implantation have been noted 11–13 . Among them, the latest onset was 3 years after implantation.…”

Section: Discussionmentioning

confidence: 99%

“…2 Although rare, pneumopericardium can occur in association with atrial lead perforation into the thoracic space (Table 1). [3][4][5][6][7][8][9][10][11][12][13] Chest pain is the most common symptom; however, shortness of breath can occur because pneumopericardium is frequently caused by pneumothorax.…”

Section: Discussionmentioning

confidence: 99%

“…Although rare, pneumopericardium can occur in association with atrial lead perforation into the thoracic space (Table 1). 3–13 Chest pain is the most common symptom; however, shortness of breath can occur because pneumopericardium is frequently caused by pneumothorax. Air escaping from the alveoli ruptured by the perforated atrial lead invades the pericardial space, resulting in pneumopericardium.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Very late‐onset atrial lead perforation leading to pneumopericardium

Enokizono

Kamakura

Kotoku

et al. 2023

Cardiovasc electrophysiol

View full text Add to dashboard Cite

Background Atrial lead perforation may lead to pneumopericardium or pneumothorax within a few days of device implantation. Methods and Results We report a case of atrial lead perforation 6 years after cardiac resynchronization therapy implantation, which resulted in pneumopericardium and pneumothorax. Conclusion Although pneumopericardium caused by atrial lead perforation can spontaneously resolve with conservative treatment, as it did in this case, treatment should be decided based on the patient's general condition and lead performance.

show abstract

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Very late‐onset atrial lead perforation leading to pneumopericardium

Enokizono

Kamakura

Kotoku

et al. 2023

Cardiovasc electrophysiol

View full text Add to dashboard Cite

show abstract

“…Thus, the possible manifestations in the patient will be refl ected as the parameters and individual structure of the anatomical structures, fi rst detected congenital anomalies. Since in the general practice developmental anomalies in patients are extremely rare, including in the practice of a cardiac surgeon, the investigation of the fi eld of medical research centres, where patients from different parts of the country and regions come to receive highly qualifi ed medical care, showed that there is a seemingly rare congenital pathology, which becomes more common within one specialised medical centre (19). In this context, the professional training of specialists based on an individual approach and the search for ways of surgical treatment that would allow the cardiac surgeon to perform the necessary anatomical and functional restoration, and, as in the case under study, the implantation at a competent level becomes relevant.…”

Section: U N C O R R E C T E Dmentioning

confidence: 99%

Persistent left superior vena cava in a patient with an implanted dual-chamber pacing system in atrial fibrillation with tachycardia-bradycardia syndrome

Bizhanov¹,

Baimbetov²,

Sarsenbayeva³

et al. 2023

BLL

View full text Add to dashboard Cite

The relevance of the study is conditioned by the problem of implantation of an artifi cial cardiac pacemaker in atrial fi brillation in patients with tachy-brady syndrome according to the standard scheme related to the presence of a congenital anomaly, such as persistent left superior vena cava. The purpose of the study is to develop an operative method of implantation of a permanent two-chamber pacemaker in patients with tachybrady syndrome with concomitant pathology of the persistent left superior vena cava. Research methods are the generally accepted clinical and instrumental examination of the patient, including taking anamnesis and a standard cardiological examination, electrocardiography, transthoracic echocardiography, plain radiography, angiocardiographic examination, and multispiral computed tomography, which, along with a general analysis, confi rm the presence of tachy-brady syndrome with atrial fi brillation and congenital anomaly in the form of persistent left superior vena cava in patients. The study presents a developed model of surgical implantation of a permanent two-chamber pacemaker to stabilise the condition of patients with atrial fi brillation related to tachy-brady syndrome with concomitant persistent left superior vena cava; the standard implantation mechanism included the introduction of a radiopaque agent to clarify the anatomical structure of the vascular bed, further, its entry from the subclavian veins into the persistent left superior vena cava and into the cavity of the right atrium through the venous coronary sinus was detected, and then a gradual introduction of an endocardial right ventricular electrode was performed into the subclavian vein through the tricuspid valve along with its further positioning in the apex of the right ventricle; therefore, a permanent two-chamber pacemaker can be successfully installed, creating conditions for restoring sinus rhythm in this group of patients, which is of practical importance for the fi eld of medicine (Tab. 3, Fig. 4, Ref. 20).

show abstract

Atrial lead perforation early after device implantation—a case report and literature review

Wang,

Yuan,

et al. 2024

Front. Surg.

View full text Add to dashboard Cite

We report three patients with screw-in lead perforation in the right atrial free wall not long after device implantation. All the patients complained of intermittent stabbing chest pain associated with deep breathing during the implantation. The “dry” epicardial puncture was utilized to avoid hemopericardium during lead extraction in the first case. The atrial electrode was repositioned in all cases and replaced by a new passive fixation lead in two patients with resolution of the pneumothorax or pericardial effusion. A literature review of 50 reported cases of atrial lead perforation was added to the findings in our case report.

show abstract

A combination of rare complications 3 years after a dual-chamber pacemaker implantation

Cited by 3 publications

References 13 publications

Very late‐onset atrial lead perforation leading to pneumopericardium

Very late‐onset atrial lead perforation leading to pneumopericardium

Persistent left superior vena cava in a patient with an implanted dual-chamber pacing system in atrial fibrillation with tachycardia-bradycardia syndrome

Atrial lead perforation early after device implantation—a case report and literature review

Contact Info

Product

Resources

About