Abstract
Although percutaneous insertion of pacemaker leads is a simple and safe method, it remains a procedure with a relatively high complication rate. We describe an uncommon and avoidable complication of this technique: piercing the lung with a pacemaker lead in an obese patient after direct puncture of the subclavian vein.
Keywords: haemothorax, pacemaker complication, pneumothorax, subclavian vein puncture
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Chauhan A., Grace A. A., Newell S. A., Stone D. L., Shapiro L. M., Schofield P. M., Petch M. C. Early complications after dual chamber versus single chamber pacemaker implantation. Pacing Clin Electrophysiol. 1994 Nov;17(11 Pt 2):2012–2015. doi: 10.1111/j.1540-8159.1994.tb03791.x. [DOI] [PubMed] [Google Scholar]
- Furman S. Subclavian puncture for pacemaker lead placement. Pacing Clin Electrophysiol. 1986 Jul;9(4):467–467. doi: 10.1111/j.1540-8159.1986.tb06600.x. [DOI] [PubMed] [Google Scholar]
- Furman S. Venous cutdown for pacemaker implantation. Ann Thorac Surg. 1986 Apr;41(4):438–439. doi: 10.1016/s0003-4975(10)62705-1. [DOI] [PubMed] [Google Scholar]
- Gardini A., Benedini G. Blind extrathoracic subclavian venipuncture for pacemaker implant: a 3-year experience in 250 patients. Pacing Clin Electrophysiol. 1998 Nov;21(11 Pt 2):2304–2308. doi: 10.1111/j.1540-8159.1998.tb01171.x. [DOI] [PubMed] [Google Scholar]
- Lamas G. A., Fish R. D., Braunwald N. S. Fluoroscopic technique of subclavian venous puncture for permanent pacing: a safer and easier approach. Pacing Clin Electrophysiol. 1988 Oct;11(10):1398–1401. doi: 10.1111/j.1540-8159.1988.tb04986.x. [DOI] [PubMed] [Google Scholar]
- Littleford P. O., Parsonnet V., Spector S. D. Method for the rapid and atraumatic insertion of permanent endocardial pacemaker electrodes through the subclavian vein. Am J Cardiol. 1979 May;43(5):980–982. doi: 10.1016/0002-9149(79)90363-1. [DOI] [PubMed] [Google Scholar]
- Parsonnet V., Bernstein A. D., Lindsay B. Pacemaker-implantation complication rates: an analysis of some contributing factors. J Am Coll Cardiol. 1989 Mar 15;13(4):917–921. doi: 10.1016/0735-1097(89)90236-2. [DOI] [PubMed] [Google Scholar]