This report describes a rare case of the fistula between the non-coronary sinus and the right atrium (RA) after ascending aortic replacement for chronic aortic dissection. A 67-year-old lady had been suddenly suffering from severe dyspnoea with general fatigue for a couple of days. Trans-thoracic echocardiogram in the emergency room demonstrated massive shunt flow from the non-coronary sinus to the RA with remarkable dilatation of the RA, right ventricle (RV) and inferior vena cava, similar to the rupture of sinus of Valsalva (Konno-type IV). The fistula was successfully treated by partial remodelling of the aortic root in an emergency basis because of her life-threatening illness. Some remaining diseased aortic root, which may be related to initial dissection or inappropriate use of gelatin-resorcin-formalin glue at the previous ascending aortic replacement, may cause this kind of serious events. Modified aortic root remodelling method with only diseased sinus resected was successfully applied to the localised aortic root disorder.
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2区Q1影响因子: 2.2
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2. Right atrial-related structures in horses of interest during electrophysiological studies.
期刊:Equine veterinary journal
日期:2021-01-20
DOI :10.1111/evj.13413
BACKGROUND:Arrhythmias are common in horses, but catheter-based minimally invasive electrophysiological studies and therapeutic interventions have been poorly explored in equine medicine, partly due to the lack of detailed anatomical knowledge of the equine heart. OBJECTIVES:To describe the dimensions and anatomical features of some electrophysiologically important landmarks of the right atrium in detail and assess their correlation with bodyweight and aortic diameter. STUDY DESIGN:Ex vivo cadaveric study. METHODS:Twenty-one hearts of Warmblood horses, subjected to euthanasia for noncardiovascular reasons, were examined post-mortem. The dimensions and anatomical features of the coronary sinus, the great cardiac vein and the oval fossa were recorded. Spearman's Rho correlation coefficients were calculated for correlations between the quantitative parameters and bodyweight and aortic diameter. RESULTS:Median dimensions for coronary sinus, great cardiac vein and oval fossa were obtained. A Thebesian valve, partially covering the ostium of the coronary sinus, was present in 9 of the 21 hearts. A median of 6.5 (range 4-9) valves were present in the great cardiac vein. Several parameters, among which the dimensions of the oval fossa and the length of the great cardiac vein, were significantly positively correlated with bodyweight and aortic diameter. MAIN LIMITATIONS:Measurements do not consider the dynamic changes during the cardiac cycle as measurements were performed ex vivo. All specimens were retrieved from Warmblood horses, therefore measurements might not apply to other breeds. CONCLUSIONS:This study delivers a detailed description of important right atrial-related structures, necessary for the development of minimally invasive intracardiac procedures in horses. Adequate imaging techniques will have to be explored in order to guide these procedures.
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1区Q1影响因子: 55
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3. Pathologic findings in perforation of the myocardium by a permanent endocardial electrode.
作者:Wheelis R F , Cobb L A
期刊:JAMA
日期:1969-11-17
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2区Q1影响因子: 6.1
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4. Use of Preprocedural MDCT for Cardiac Implantable Electric Device Lead Extraction: Frequency of Findings That Change Management.
作者:Ehieli Wendy L , Boll Daniel T , Marin Daniele , Lewis Robert , Piccini Jonathan P , Hurwitz Lynne M
期刊:AJR. American journal of roentgenology
日期:2017-01-11
DOI :10.2214/AJR.16.16897
OBJECTIVE:Five percent of cardiac implantable electric devices (CIEDs) are removed each year. Percutaneous extraction is preferred but can be complicated if the leads adhere to the vasculature or perforate. The goal of this study is to assess the frequency of findings on dedicated MDCT that alter preprocedural planning for percutaneous CIED extraction. MATERIALS AND METHODS:One hundred patients with CIEDs who underwent MDCT before percutaneous lead extraction were analyzed. Major findings that could preclude percutaneous removal, including lead course and termination, were distinguished from moderately significant findings that could alter but not preclude percutaneous removal, including endofibrosis of leads to the vasculature, lead termination abnormalities, central vein stenosis, or thrombus. Incidental findings were characterized separately. Findings were correlated with preprocedural decisions, the extraction procedure performed, and procedural outcomes. RESULTS:Twenty-six women and 74 men with 125 right ventricular leads, 84 right atrial leads, and 26 coronary venous leads were evaluated. Major findings were present in 7% of patients, including six patients with lead perforation and one with a lead coursing outside a tricuspid annuloplasty ring. Moderately significant findings of endothelial fibrosis were found in 78% of patients. The central veins were narrowed or occluded in 42% of patients, and thrombus was present in 2% of patients. Thirty-six percent of patients had incidental findings, and 4% of patients had unexpected findings requiring immediate inpatient attention. CONCLUSION:MDCT performed before CIED lead extraction is able to identify major and moderately significant findings that can alter either percutaneous extraction or preprocedural planning. The use of dedicated preprocedural MDCT can help to stratify patient risk, guide decision making by the proceduralist, and identify non-catheter-related findings that affect patient management.
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1区Q1影响因子: 5.7
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5. Outcomes of patients requiring emergent surgical or endovascular intervention for catastrophic complications during transvenous lead extraction.
作者:Brunner Michael P , Cronin Edmond M , Wazni Oussama , Baranowski Bryan , Saliba Walid I , Sabik Joseph F , Lindsay Bruce D , Wilkoff Bruce L , Tarakji Khaldoun G
期刊:Heart rhythm
日期:2013-12-04
DOI :10.1016/j.hrthm.2013.12.004
BACKGROUND:The outcomes of patients requiring emergent surgical or endovascular intervention during transvenous lead extraction (TLE) have not been well characterized. OBJECTIVES:To evaluate the incidence of catastrophic complications requiring emergent surgical or endovascular intervention during TLE, to describe the injuries, and to review patient management and outcomes. METHODS:Consecutive patients undergoing TLE of pacemaker and implantable cardioverter-defibrillator (ICD) leads at the Cleveland Clinic between August 1996 and September 2012 were included in the analysis. RESULTS:A total of 5973 (4436 [74.3%] pacemaker and 1537 [25.7%] ICD) leads were extracted during 3258 TLE procedures (median [25th, 75th percentile] patient age 67.0 [55.0, 76.1] years; 69.2% men). The median (25th, 75th percentile) lead implant duration was 4.9 (2.4, 8.4) years, and 2.0 (1.0, 2.0) leads were extracted per procedure. Powered sheaths were used in 2369 (72.7%) procedures. Twenty-five (0.8%) patients experienced catastrophic complications requiring emergent surgical or endovascular intervention. Twenty patients (0.6%) required either sternotomy (n = 18) or thoracotomy (n = 2) for superior vena cava laceration (n = 15) and right atrial (n = 2) or ventricular (n = 3) perforation. Two patients required vascular repair at the procedural access site for either subclavian vein or artery laceration. Three patients were managed with an endovascular approach for superior vena cava laceration, left axillary artery laceration, and brachiocephalic vein and artery fistula. In-hospital mortality was 36.0% (6 procedural/operative deaths and 3 deaths during the same hospitalization). CONCLUSIONS:Major vascular injury or cardiac perforation requiring emergent surgical or endovascular intervention during TLE is uncommon but carries significant in-hospital mortality. Despite high mortality, nearly two-thirds of these patients were rescued with immediate response and surgical or endovascular intervention.
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1区Q1影响因子: 6.7
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6. Cardiac perforation from implantable cardioverter-defibrillator lead placement: insights from the national cardiovascular data registry.
作者:Hsu Jonathan C , Varosy Paul D , Bao Haikun , Dewland Thomas A , Curtis Jeptha P , Marcus Gregory M
期刊:Circulation. Cardiovascular quality and outcomes
日期:2013-09-03
DOI :10.1161/CIRCOUTCOMES.113.000299
BACKGROUND:Cardiac perforation is a feared complication of implantable cardioverter-defibrillator (ICD) lead implantation because of the potential for significant morbidity and mortality. Predictors of perforation and the severity of associated adverse events have not been well studied. We sought to identify predictors of cardiac perforation from ICD lead implantation and subsequent outcomes. METHODS AND RESULTS:We studied 440 251 first-time ICD recipients in the ICD Registry implanted between January 2006 and September 2011. Using hierarchical multivariable logistic regression adjusting for patient, implanting physician, and hospital characteristics, we examined the predictors of perforation and the association of perforation with other major complications, length of stay, and in-hospital mortality. Cardiac perforation occurred in 625 patients (0.14%). After multivariable adjustment, older age, female sex, left bundle branch block, worsened heart failure class, higher left ventricular ejection fraction, and non-single-chamber ICD implant were associated with a greater odds of perforation. Conversely, atrial fibrillation, diabetes mellitus, previous cardiac bypass surgery, and higher implanter procedural volume were associated with a lower odds of perforation (all P<0.05). After adjustment, ICD recipients with perforation had greater odds of other associated major complications (odds ratio, 27.5; 95% confidence interval, 19.9-38.0; P<0.0001), postprocedural hospital stays >3 days (odds ratio, 16.3; 95% confidence interval, 13.7-19.4; P<0.0001), and in-hospital death (odds ratio, 17.7; 95% confidence interval, 12.2-25.6; P<0.0001). CONCLUSIONS:In a large population of ICD recipients, specific patient and implanter characteristics predicted cardiac perforation risk. Cardiac perforation was associated with a substantially increased risk of other major complications, prolonged hospital stays, and death.
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2区Q1影响因子: 3.9
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7. Location of Superior Vena Cava Tears in Transvenous Lead Extraction.
期刊:The Annals of thoracic surgery
日期:2021-05-06
DOI :10.1016/j.athoracsur.2021.04.068
BACKGROUND:Superior vena cava (SVC) tears are rare but potentially lethal complications associated with transvenous lead extraction. When lacerations occur, surgeons need to be prepared for an emergent response. Nonetheless, little is known about the precise whereabouts of these lesions. Understanding the location and injury patterns enables a more anticipated and targeted surgical response. METHODS:We collected data via physician interviews after an SVC laceration occurred. These physicians were identified through the US Food and Drug Administration's Manufacturer and User Facility Device Experience database and independent physician reports of adverse events. We identified 116 reports of SVC tears between July 1, 2016, and July 31, 2018. For an SVC tear to be included in our registry, a cardiothoracic surgeon had to be physically present to confirm the injury via emergent sternotomy. In each case, the surgeon recorded the SVC injury's exact location after a repair was attempted. RESULTS:During the study period, 116 SVC tears were confirmed by sternotomy. Tears occurred in any combination of the following locations: SVC-innominate vein, body of the SVC, and SVC-right atrial junction. The majority of tears (n = 72; 62%) were located in the isolated body of the SVC, followed by the SVC-right atrial junction (n = 23;19.8%) and the SVC-innominate junction (n = 17;14.6%). Combined tears were rare, accounting for only 3.6% (n = 4) of the adverse events recorded. CONCLUSIONS:Most SVC tears occurred in the isolated body of the SVC. The second most common location was the SVC-right atrial junction. The SVC-innominate junction was the third most common location for these injuries. Combined tears were uncommon.
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1区Q1影响因子: 14.1
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8. Cardiac Perforation After Pacemaker Placement in a Male Patient in His 80s.
期刊:JAMA cardiology
日期:2024-03-01
DOI :10.1001/jamacardio.2023.4966
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4区Q3影响因子: 1.4
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9. A screw-type pacemaker lead implanted in the right atrium perforated the ascending aorta.
期刊:The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology
日期:2024-05-24
DOI :10.1186/s43044-024-00494-2
BACKGROUND:Perforation by pacemaker leads, although rare, is a complication reported since the introduction of pacemaker therapy. Although historically reported frequencies were as high as 5%, recent reports have cited frequencies ranging from 1 to 2%. We report a case where a screw-type atrial lead slightly penetrated the right atrial wall, causing chronic abrasion of the ascending aorta, resulting in shock. CASE PRESENTATION:A 54-year-old male presented with dilated cardiomyopathy diagnosed at 40 years of age when he developed decompensated heart failure. Despite ongoing treatment, his heart failure worsened, leading to hospitalization at the age of 54. During his hospital stay, he experienced cardiac arrest that required cardiopulmonary resuscitation, followed by a return of spontaneous circulation. He was subsequently transferred to our institution after initiation of venoarterial extracorporeal membrane oxygenation (VA-ECMO) and an intra-aortic balloon pump (IABP). Echocardiography revealed an ejection fraction of 25%, left ventricular end-diastolic diameter of 60 mm, and severe mitral regurgitation (MR). Transcatheter mitral valve repair was performed to treat severe MR, followed by implantation of a cardiac resynchronization therapy defibrillator (CRT-D). Three months later, the patient was brought to our emergency department by ambulance because of hypotension. Contrast-enhanced computed tomography revealed pericardial effusion causing cardiac tamponade, necessitating emergency pericardial decompression via left fourth intercostal mini-thoracotomy and drain placement. Upon transfer to the intensive care unit, 1200 mL of blood was drained from the chest tube, prompting a return to the operating room for a median sternotomy. It was discovered that the pacemaker lead on the left side of the right atrium had slowly eroded into the aorta, leading to perforation. The ascending aorta was repaired and hemostasis was achieved; the patient recovered uneventfully and was discharged on postoperative day 18. CONCLUSIONS:The pacemaker lead perforated the right atrium; chronic abrasion of the lead against the ascending aorta resulted in bleeding from the ascending aorta 3 months later.
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2区Q1影响因子: 4.4
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10. Aortic perforation with cardiac tamponade two weeks after pacemaker implantation.
作者:Kaljusto Mari-Liis , Tønnessen Theis
期刊:The Journal of thoracic and cardiovascular surgery
日期:2007-08-01
DOI :10.1016/j.jtcvs.2007.03.037
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2区Q1影响因子: 3.9
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11. Epicardial Pacing Wire Migration Into The Thoracic Aorta.
作者:Malvindi Pietro G , Margari Vito , Favale Antonella , Kounakis Georgios , Visicchio Giuseppe , Paparella Domenico , Carbone Carmine
期刊:The Annals of thoracic surgery
日期:2018-02-08
DOI :10.1016/j.athoracsur.2018.01.026
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2区Q1影响因子: 7.1
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12. Recurrent strokes caused by a malpositioned pacemaker lead.
作者:Sivapathasuntharam Dhanupriya , Hyde Jonathan A J , Reay Victoria , Rajkumar Chakravarthi
期刊:Age and ageing
日期:2011-12-11
DOI :10.1093/ageing/afr152
This case report illustrates the case of a patient who developed recurrent strokes after a pace maker lead was inserted into his left ventricle. It was removed successfully by the cardiothoracic surgeons but he remained very dependent functionally. This case highlights the importance of always reviewing the electrocardiogram and chest radiograph after the insertion of a pacemaker as late diagnosis of this complication can leave the patient with significant morbidity.
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13. Persistent left-sided superior vena cava--a pacing challenge.
作者:Innasimuthu A L , Rao G K , Wong P
期刊:Acute cardiac care
日期:2007-01-01
DOI :10.1080/17482940701263293
A left sided superior vena cava (LSVC) occurs in 0.3% of the population. LSVC normally drains into the right atrium through a dilated coronary sinus. We illustrate two cases of dual chamber permanent pacemaker implantation by using (1) left subclavian vein in a 35-year-old woman with symptomatic Mobitz type II atrioventricular block; and (2) right subclavian vein in a 64-year-old man who was hospitalized with bradycardia, complete heart block, and alternating bundle branch block. After accessing the subclavian vein, the pacing leads were advanced into the LSVC, which was situated to the left of the vertebral column in the mediastinum. The leads followed the course of the LSVC medially before entering into the right atrium. Once inside the right atrium, the ventricular lead made a U-turn towards the tricuspid valve and into the right ventricle by shaping the stylet, and it was helped by right atrial contraction. An active fixation atrial lead was used in both cases to secure a satisfactory location within the right atrium. A small volume of contrast can be injected into the pacing sheath to visualize the coronary sinus opening into the right atrium, and the right ventricle. Fluoroscopy in oblique views can be helpful in guiding the atrial lead into the anteriorly positioned atrial appendage. In emergency transvenous ventricular temporary pacing where the subclavian or internal jugular vein is used, it is important to recognize the presence of a LSVC. The lead should first be directed into the right atrium and then looped back into the right ventricle. Excessive force must be avoided to prevent cardiac perforation and tamponade. If this is not successful, access through a femoral vein should be attempted.
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1区Q1影响因子: 5
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14. Images in emergency medicine. Perforation of the right ventricle and lung parenchyma by a pacemaker lead.
作者:Bock Manja , Strasser Ruth H
期刊:Annals of emergency medicine
日期:2007-10-01
DOI :10.1016/j.annemergmed.2007.02.024
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3区Q3影响因子: 2
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15. Delayed pericarditis and cardiac tamponade associated with active-fixation lead pacemaker in the presence of mitochondrial myopathy and Ockham's razor.
作者:Schiariti Michele , Cacciola Maria T , Pangallo Antonio , Ciancia Francesco , Puddu Paolo E
期刊:Journal of cardiovascular medicine (Hagerstown, Md.)
日期:2009-11-01
DOI :10.2459/JCM.0b013e32832e6499
A 23-year-old male patient, with a diagnosed mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes, was referred for recurrent fainting. Long sinus pauses were documented, and an atrial pacemaker with an active-fixation lead was implanted. He was admitted again 4 months later because of chest pain and diffuse ST segment changes. On the basis of these, pericarditis was diagnosed, corticosteroid therapy and the adjunct of salicylates were started, which in few hours enabled the relief of symptoms and the reduction of ECG abnormalities. However, 24 h later, the patient suddenly experienced severe hypotension and tachycardia, and an emergency echocardiogram showed pericardial tamponade. The differential diagnoses with atrial free-wall perforation and Dressler-like syndrome were discussed, along with the difficulties in management. By a 'wait and see' strategy, the active-fixation atrial lead was eventually changed into a passive-fixation one, while continuing corticosteroids and salicylates. The patient quickly improved and is now, after 1 year, symptom free. For the explanation of any phenomenon, it is important that as few assumptions as possible are considered, eliminating those that make no difference in the observable predictions of the explanatory hypothesis or theory, according to the concept of Ockham's razor.
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3区Q1影响因子: 3.8
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16. Delayed perforation of the right ventricle as a complication of permanent cardiac pacing - is following the guidelines always the right choice? Non-standard treatment - a case report and literature review.
作者:Rydlewska Anna , Małecka Barbara , Zabek Andrzej , Klimeczek Piotr , Lelakowski Jacek , Pasowicz Mieczysław , Czajkowski Marek , Kutarski Andrzej
期刊:Kardiologia polska
日期:2010-03-01
A case of a delayed perforation of the right ventricle by the pacemaker lead in a 67-year-old woman is presented. Perforation, mimicking stenocardial symptoms, was incidentally diagnosed on a computed tomography chest scan. Percutaneous lead extraction was successfully performed, with simultaneous implantation of a new pacemaker lead.
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3区Q2影响因子: 2.3
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17. Late perforation by cardiac implantable electronic device leads: clinical presentation, diagnostic clues, and management.
作者:Refaat Marwan M , Hashash Jana G , Shalaby Alaa A
期刊:Clinical cardiology
日期:2010-08-01
DOI :10.1002/clc.20803
Late intracardiac lead perforation is defined as migration and perforation of an implanted lead after 1 month of cardiac electronic device implantation. It is an under-recognized complication with significant morbidity and mortality, particularly if not recognized early. Two patients with late perforation caused by passive-fixation leads are reported and the clinical features of their presentation and management are reviewed. We conducted a thorough review of the available English language literature pertaining to this complication to draw relevant conclusions regarding presentation, diagnosis, and management. Early recognition of this complication is important as the indications for and numbers of patients who receive cardiac implantable electronic devices continue to expand.
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3区Q1影响因子: 3.8
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18. Cardiac chambers perforation by pacemaker and cardioverter-defibrillator leads. Own experience in diagnosis, treatment and preventive methods.
作者:Maziarz Andrzej , Ząbek Andrzej , Małecka Barbara , Kutarski Andrzej , Lelakowski Jacek
期刊:Kardiologia polska
日期:2012-01-01
Cardiac chamber perforation is an uncommon, but potentially dangerous, complication of implantation of a pacemaker (PM) or a cardioverter-defibrillator (ICD). Different clinical presentations are related to the time between implantation and perforation, localisation of the perforation and concomitant lesions in neighbouring organs. Diagnosis is based on concomitant analysis of the clinical picture, ECG tracings, PM or ICD function check-up with a programmer, and review of echocardiographic, X-ray and computed tomography pictures. We analysed seven cases of perforation. Perforating leads were removed in all cases and a new pacing system was implanted in five cases. Choice of operative technique (unscrewing and direct traction from device pocket, Cook system or surgical procedure with pericardial drainage) depended on the time elapsing between implantation and perforation, the presence of lesions of other organs, and the amount of fluid in the pericardial sac. Avoiding unsafe localisation of a pacing electrode in the apex and free wall of the right ventricle and in the free anterolateral wall of the right atrium, and avoiding leaving an extra length of pacing lead under tension and overscrewing of the lead helix seem to be the best ways of prevention.
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4区Q2影响因子: 3.3
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19. ECHO and magnetic resonance imaging in a patient with high bleeding risk and ventricular perforation: a case report and literature review.
作者:Truscelli G , Galea N , Barillà F , Pellicori P , Toscano F , Gaudio C , Carbone I , Torromeo C
期刊:European review for medical and pharmacological sciences
日期:2011-06-01
Myocardial perforation is a complication following pacemaker implantation that may cause cardiac tamponade. We present an original case of myocardial lead perforation not complicated by acute cardiac tamponade. The patient with an acute myocardial infarct had a high bleeding risk both in the acute phase of lead insertion (anticoagulant and triple platelet anti-aggregation therapy) and after few days, the percutaneous extraction lead for the double platelet antiaggregant therapy. Torrent-Guasp's theory is considered for explaining the clinical course of patient. Echocardiography and magnetic resonance imaging (MRI) evaluation showed a diffuse pericardial non-hemorrhagic fibrinous effusion and guide the clinical management.
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2区Q1影响因子: 3.9
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20. Pacemaker lead perforation into the right lung.
21. Iatrogenic cardiac perforation due to pacing lead displacement: Imaging findings.
作者:Kirchgesner T , Ghaye B , Marchandise S , Le Polain de Waroux J-B , Coche E
期刊:Diagnostic and interventional imaging
日期:2015-05-27
DOI :10.1016/j.diii.2015.03.011
PURPOSE:Cardiac perforations due to pacing and implantable defibrillator lead displacement are rare and their detection may be difficult. The goal of this study was to review the clinical and imaging presentation of cardiac perforation related to pacing lead displacement. PATIENTS AND METHODS:The clinical and imaging files of four patients (two men and two women) who experienced cardiac perforation related to pacing lead displacement were reviewed. The four patients were investigated in our radiology department over a 24-month-period. RESULTS:Two patients had clinical symptoms at the time lead displacement was detected and the other two were free of symptoms. In all patients, lead displacement was visible on imaging examinations in retrospect but was not detected prospectively. CONCLUSION:Radiologists should pay attention to the position of the tips of the leads on chest X-ray and CT, even late after the implantation and in asymptomatic patients.
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3区Q1影响因子: 9.2
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22. Late Unexpected Pneumopericardium Due to Pleuro-pericardial Atrial Perforation by Pacemaker Lead.
期刊:Archivos de bronconeumologia
日期:2024-04-06
DOI :10.1016/j.arbres.2024.03.027
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23. Fibrin glue patch for pacemaker lead perforation of the right ventricular free wall: A case report.
作者:Yamaguchi Satoshi , Tabuchi Masaki , Oba Kageyuki , Doi Hiroshi , Arasaki Osamu
期刊:HeartRhythm case reports
日期:2015-11-07
DOI :10.1016/j.hrcr.2015.11.001
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1区Q1影响因子: 7.4
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24. Recurrent pericardial effusion caused by pacemaker lead perforation and warfarin therapy at seven years after implantation.
期刊:Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
日期:2012-02-01
DOI :10.1093/europace/eur268
A 66-year-old man was implanted with a pacemaker. Seven years after implantation he was admitted due to cardiogenic cerebral embolism and warfarin therapy was introduced. After that, he suffered recurrent pericardial effusion for unexplained reasons. An exploratory thoracotomy revealed that the screw of the atrial lead had penetrated through the right auricular appendage wall.
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25. Very late perforation of a passive fixation lead 8 years after pacemaker implantation.
期刊:HeartRhythm case reports
日期:2023-03-03
DOI :10.1016/j.hrcr.2023.02.014
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2区Q1影响因子: 7.1
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26. Chest Pain Due to Pacemaker Lead Perforation.
作者:Christ Martin , Grett Martin , Trappe Hans-Joachim
期刊:Deutsches Arzteblatt international
日期:2018-04-06
DOI :10.3238/arztebl.2018.0242
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3区Q1影响因子: 3.3
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27. Minimal Cardiac Perforation by Lead Pacemaker Complicated with Pericardial Effusion and Impending Tamponade: Optimal Management with No Pericardiocentesis Driven by Echocardiography.
作者:Caiati Carlo , Pollice Paolo , Truncellito Luigi , Lepera Mario Erminio , Favale Stefano
期刊:Diagnostics (Basel, Switzerland)
日期:2020-03-30
DOI :10.3390/diagnostics10040191
We report the case of a 51-year-old patient who underwent the implantation of a bi-ventricular implantable cardioverter defibrillator (ICD) complicated by a sub-acute right ventricular minimal perforation with pericardial effusion and echocardiographic signs of tamponade. A new echocardiographic plane orientation allowed us to diagnose this condition in emergency and to make the right decision without delay, which consisting in unscrewing the active fixation screw under fluoroscopy guidance, while the pericardiocentesis was postponed. Thanks to the intervention focused on eliminating the cause of the postcardiac injury syndrome, the patient recovered rapidly and ultimately avoided the pericardiocentesis procedure.
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4区Q3影响因子: 1.4
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28. Pneumopericardium and pneumothorax due to right atrial permanent pacemaker lead perforation.
作者:Baird Andrew , Gandhi Mitesh
期刊:Journal of medical imaging and radiation oncology
日期:2014-07-01
DOI :10.1111/1754-9485.12200
A 75-year-old man presented with a spontaneous right pneumothorax and pneumopericardium following right atrial pacemaker lead perforation, which is a rare complication, with only two case reports being documented in the literature to the authors' knowledge. It is important that radiologists be aware of cardiac lead perforations, as they may be the first to diagnose this complication.