Five common permanent cardiac pacemaker complications

Townsend, Terri

doi:10.1097/01.ccn.0000534926.85924.91

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…Common complications of permanent pacemakers such as the formation of a pocket hematoma, lead dislodgement or infection, are discussed regularly with patients and can occur in up to 6% of all pacemaker insertions [ 7 ]. However, patients are not routinely informed of less common complications such as pacemaker-lead thrombosis and SCVO [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Pacemaker lead thrombosis – a rare cause of breathlessness

Kelly,

Davidson,

Griffiths

2024

Arch Clin Cases

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As the number of pacemaker insertions increases to manage numerous cardiac arrhythmias, the number of complications is also increasing as a result. More common complications such as infection and lead displacement are routinely discussed with patients before they undergo the procedure. However rare complications such as superior vena cava syndrome are not discussed during the consenting period. But they do occur, as seen in this case of a 69-year-old male. This fit and active man had a right-sided dual-chamber pacemaker inserted due to sinus node disease and presented 5 years later with symptoms suggestive of superior vena cava obstruction (SVCO). Despite anticoagulation and before surgical intervention could be performed, the patient developed a right-sided chylothorax which was drained. An autologous pericardial patch repair of the SVC and a thrombectomy of SVC clots was subsequently performed. This was only partially successful and the SVCO recurred. A low fatty chain diet was initiated to manage the chylothorax, which remains stable. This rare complication has left the patient with a small pleural effusion and chronic pleural thickening. They can still exercise with mild breathlessness. The management of such a complication, which requires the input of many specialists, is challenging and often does not completely resolve all symptoms. For this reason, superior vena cava obstruction should be considered as a risk during the consenting procedure for a pacemaker insertion.

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Section: Discussionmentioning

confidence: 99%

Pacemaker lead thrombosis – a rare cause of breathlessness

Kelly,

Davidson,

Griffiths

2024

Arch Clin Cases

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“…Some common complications associated with PM implantation include hematoma formation, lead dislodgement, infection, lead perforation, and dysrhythmia. 12 AVB in the context of hyperthyroidism Cardiac involvement in hyperthyroidism. Cardiac complications are common in patients with hyperthyroidism (HTH), and such complications may take many forms.…”

Section: Types Of Avbmentioning

confidence: 99%

“…Some common complications associated with PM implantation include hematoma formation, lead dislodgement, infection, lead perforation, and dysrhythmia. 12…”

Section: Introductionmentioning

confidence: 99%

Atrioventricular block in patients with hyperthyroidism: a narrative review

Ata

2024

J Int Med Res

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Atrioventricular block (AVB) is a rare cardiac manifestation of hyperthyroidism (HTH). The scientific literature contains multiple reports of AVB in patients with HTH, ranging from subclinical to overt HTH and even thyroid storm. However, much remains unknown about the true prevalence, clinical course, optimal management, and outcomes of AVB in patients with HTH. Such patients are possibly overtreated with pacemakers because of a lack of understanding that AVB might be secondary to the hyperthyroid state and thus reversible. This narrative review discusses the pathophysiology of AVB in patients with HTH in the context of the available evidence.

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Cardiac pacemaker lead retraction

Ranchod

2022

Radiopaedia.org

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Five common permanent cardiac pacemaker complications

Cited by 3 publications

References 13 publications

Pacemaker lead thrombosis – a rare cause of breathlessness

Pacemaker lead thrombosis – a rare cause of breathlessness

Atrioventricular block in patients with hyperthyroidism: a narrative review

Cardiac pacemaker lead retraction

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