Complications of Pacemaker Implantation

Schiariti, Michele; Cacciola, M Carrubba; Puddu, Paolo

doi:10.5772/13446

Cited by 5 publications

(7 citation statements)

References 131 publications

(130 reference statements)

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“…These complications can be early postoperative, during hospitalization, within 30 days or late ( Mechanical factors may cause pacemaker erosion. The incidence of permanent pacemaker perforation is between 0.5% and 2% [5]. A mandatory echocardiographic follow-up evaluation is needed to remain vigilant for this fatal complication.…”

Section: Discussionmentioning

confidence: 99%

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Unusual Delayed Complication of Pacemaker Leads

Gupta¹,

Claudio²,

Hus³

2020

Cureus

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We present three patients who complained of chest pain secondary to displaced pacemaker leads. They underwent evaluation in the emergency room multiple times for chest pain. Imaging was useful to diagnose misplaced ventricular leads of the pacemaker. The patients needed a pericardial window for the extraction of leads and repair of the heart defect. The perioperative course was managed with a multidisciplinary team of cardiologists and electrophysiologists.

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Section: Discussionmentioning

confidence: 99%

“…Acute perforation of the right ventricle or right atrium occurs in 1% of the patients [5,6]. Atrial lead dislodgment is more common than ventricular dislodgements, which occurs due to the thinness of the right atrial wall that has an average thickness of 2 mm, in comparison to the right ventricular wall that is two times as thick [7].…”

Section: Discussionmentioning

confidence: 99%

Unusual Delayed Complication of Pacemaker Leads

Gupta¹,

Claudio²,

Hus³

2020

Cureus

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“…Complications associated with implantation of a pacemaker or implantable defibrillator include cardiac perforation, pericardial effusion, pneumothorax, haemothorax [1,2,3]. The heart perforation with pacemaker leads is a rare complication -the incidence ranges from 0.1% to 0.8% [10].…”

Section: Discussionmentioning

confidence: 99%

“…However, they can have severe complications such as pneumothorax, cardiac perforation, pericardial effusion, haemothorax, etc. [1,2,3]. Heart perforation and haemothorax is a very rare complication of pacemaker implantation [3].…”

Section: Introductionmentioning

confidence: 99%

Širdies perforacija elektrokardiostimuliatoriumi: klinikinis atvejis

Pankratjevaitė¹,

Samiatina-Morkūnienė²

2015

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Lietuvos sveikatos mokslų universiteto ligoninė, Medicinos akademija, Chirurgijos skyrius 2 Lietuvos sveikatos mokslų universiteto ligoninė, Medicinos akademija, Krūtinės chirurgijos skyrius, Eivenių g. 2, LT-50009 Kaunas El. paštas: dsamiatina@yahoo.deBackground Cardiac perforation is a rare complication of pacemaker or implantable defibrillator implantation. Patients with cardiac perforation may present with various symptoms, and sometimes it creates real diagnostic difficulties. Case reportWe report the case of an 80-year-old patient with a sick sinus syndrome. He underwent the implantation of a dual chamber permanent pacemaker complicated by cardiac perforation, haemopericardium, and right haemothorax. The patient felt unwell a few hours after the procedure had been done. However, the cardiac perforation was confirmed by chest computed tomography just five days after the pacemaker implantation had been performed. Migrated lead was removed by an electrophysiologist with the backup of surgeons under thoracoscopy control. Next day the migrated lead was changed with a new one, and the patient left the hospital on the sixteenth day after pacemaker implantation. Conclusions Literature says that the big part of migrated pacemakers' leads could be removed safely by simple traction under X-ray or echocardiography monitoring in the operating room, with a surgeon team backup. We have done it successfully with a thoracoscope control. Key words: pacemaker, complications, cardiac perforation, thoracoscopy ĮvadasViena iš retų elektrokardiostimuliatoriaus ar defibriliatoriaus implantacijos komplikacijų yra širdies perforacija. Jos klinikinės išraiškos pasižymi didele įvairove ir gali sukelti daug diagnostikos sunkumų. Klinikinis atvejis Į mūsų ligoninę dėl sinusinio mazgo silpnumo sindromo hospitalizuotas 80 metų ligonis. Jam implantuotas dviejų kamerų ilgalaikis kardiostimuliatorius. Procedūros komplikacijos -širdies perforacija, hemoperikardiumas ir dešinės pusės hemotoraksas. Po procedūros praėjus kelioms valandoms, ligonis pasijuto blogai, tačiau tiksli širdies perforacijos diagnozė nustatyta 177Heart perforation by pacemaker: a case report tik penktą dieną po kardiostimuliatoriaus implantavimo, kai atlikta krūtinės ląstos kompiuterinė tomografija. Tuomet elektrofiziologas, padedamas chirurgų, kontroliuojant procedūrą torakoskopu, pašalino migravusį elektrokardiostimuliatoriaus elektrodą. Kitą dieną ligoniui įdėtas naujas elektrodas. Praėjus šešiolikai dienų po elektrokardiostimuliatoriaus implantavimo, vyras išrašytas iš ligoninės. Išvados Literatūroje minima, kad dauguma migravusių elektrodų gali būti paprastai ištraukti kontroliuojant procedūrą rentgenu ar stebint echokardiografu operacinėje, kartu esant pasirengusiai chirurgų komandai. Mes sėkmingai pašalinome elektrodą kontroliuodami procedūrą torakoskopu.

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“…The largest share (14; 47%) of respondents live in a suburban settlement, 33% (10) lives in a city, while 20% (6) lives in rural areas .…”

Section: Patientsmentioning

confidence: 99%

Nursing interventions in the care of patients after the placement of a cardiac pacemaker

Vlaisavljević,

Stojanović,

Milovanović

et al. 2023

Ann Nursing

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Background: Nurses and technicians are an important part of cardiological teams that take care of patients with cardiac pacemakers. (CP) Aim: The aim of this study was to determine the healthcare of patients with CP and the role and attitudes of nurses and technicians in this process. Materials and Methods: Two samples of 30 patients with cardiac pacemakers and 20 nurses and technicians from the Clinical Center Zvezdara in Belgrade were interviewed with a patient survey consisting of 17 questions and a nurse survey consisting of 13 questions (demographic data, clinical data, educational data, and attitudes). Results and Discussion: The most common indication for a CP is symptomatic bradycardia (50%). The most frequent complication after CP implantation was hematoma (30%). Most of the patients had symptoms of vertigo and fainting after the CP installation (80%), limited mobility (90%), and the average length of hospitalization for the patient was up to 7 days (50%). Most patients go for regular check-ups (93%). The degree of satisfaction of patients with the work of nurses shows that most of them are satisfied or very satisfied (80%). Most nurses and technicians are satisfied with their cooperation with patients (80%) and colleagues (95%) and generally believe that there is teamwork in the department (75%). Respondents generally believe that there is active family cooperation in education (85%). About two-thirds of nurses and technicians go to continuing education. Conclusion: This study in a Belgrade clinic shows that nurses and technicians largely contribute to the satisfactory healthcare of patients with a pacemaker.

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Complications of Pacemaker Implantation

Cited by 5 publications

References 131 publications

Unusual Delayed Complication of Pacemaker Leads

Unusual Delayed Complication of Pacemaker Leads

Širdies perforacija elektrokardiostimuliatoriumi: klinikinis atvejis

Nursing interventions in the care of patients after the placement of a cardiac pacemaker

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